Individual
AMY KATHERINE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200, CUMMING, GA 30040-3002
(470) 839-3041
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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