Individual
AMY CHARLENE PONTARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10707 SPOTSYLVANIA AVE STE 101, FREDERICKSBURG, VA 22408-2682
(540) 368-8087
(540) 368-8059
Mailing address
PO BOX 1394, FREDERICKSBURG, VA 22402-1394
(540) 368-8087
(540) 368-8059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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