Individual
AMY JIVIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 FINLAND DR, SPRING HILL, FL 34609-5550
(813) 926-5454
Mailing address
8131 JASBOW JCT, WEEKI WACHEE, FL 34613-4551
(352) 610-3624
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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