Individual
AMBER VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 S DIXON RD STE 350, KOKOMO, IN 46902-6430
(765) 789-2564
(765) 448-1864
Mailing address
2785 CASON ST # 2, LAFAYETTE, IN 47904-2843
(765) 448-4185
(765) 448-1864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-241550
IN
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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