Individual
AMY SEGOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 NEBRASKA AVE BLDG B, GRANTS PASS, OR 97527-5700
(541) 476-3302
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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