Individual
AMBER JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 N ORANGE ST, NEW SMYRNA BEACH, FL 32168-6733
(386) 402-4460
(386) 957-3637
Mailing address
311 N ORANGE ST, NEW SMYRNA BEACH, FL 32168-6733
(386) 402-4460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-266967
FL
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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