Individual
AMY TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2565 N TOLEDO BLADE BLVD, NORTH PORT, FL 34289-9306
(800) 356-4049
(941) 485-0519
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(800) 356-4049
(941) 485-0519
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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