Individual
AMAYA DOEHRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12938 COLDWATER RD, FORT WAYNE, IN 46845-9517
(317) 815-5501
Mailing address
5424 HIGHVIEW DR, FORT WAYNE, IN 46818-1926
(260) 705-9941
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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