Individual
AMIE DRYSGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
75 S CHURCH ST, PITTSFIELD, MA 01201-6157
(413) 499-7924
(413) 442-6284
Mailing address
788 SOUTH ST, PITTSFIELD, MA 01201-8237
(413) 499-7924
(413) 442-6284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-2742-49486
MA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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