Individual
AMANDA LOVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 E 52ND ST, INDIANAPOLIS, IN 46205-1205
(317) 584-5166
Mailing address
522 N LEBANON ST APT 4, LEBANON, IN 46052-2163
(765) 481-7961
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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