Individual
AMBER LEANNE RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S DOUGLAS RD, CORAL GABLES, FL 33134-4108
(786) 751-4534
Mailing address
1648 MOUNT TABOR RD, MARYVILLE, TN 37801-7849
(865) 293-7553
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/12/2023
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