Individual
AMY LEE PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 NE 1ST ST, LAKE BUTLER, FL 32054-1301
(386) 496-9604
Mailing address
521 NE 1ST ST, LAKE BUTLER, FL 32054-1301
(386) 496-9604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
230596
FL
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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