Individual
AMY INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13121 ATLANTIC BLVD STE 200, JACKSONVILLE, FL 32225-0102
(904) 491-2111
Mailing address
13121 ATLANTIC BLVD STE 200, JACKSONVILLE, FL 32225-0102
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
09/04/2025
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