Individual
AMANDA ROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2465 W CHICAGO ST, RAPID CITY, SD 57702-2467
(605) 206-5004
Mailing address
2465 W CHICAGO ST, RAPID CITY, SD 57702-2467
(605) 206-5004
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-333600
SD
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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