Individual
AMY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 S MADISON ST, MUNCIE, IN 47302-5604
(765) 216-7430
Mailing address
3205 S MADISON ST, MUNCIE, IN 47302-5604
(765) 216-7430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-183007
IN
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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