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Individual

AMY LAM TRUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(888) 517-8377
Mailing address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76841
IN
106S00000X
Behavior Technician

Other

Enumeration date
01/09/2023
Last updated
04/12/2025
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