Individual
AMANDA SUZANNE MCVANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 SPRING ST STE 4, PETOSKEY, MI 49770-2881
(231) 268-0007
Mailing address
706 N ADDIS RD, BOYNE CITY, MI 49712-9174
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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