Individual
CANDACE LYNN AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 S MAIN ST FL 1, GREENVILLE, SC 29601-2923
(185) 583-2672
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-530313
NC
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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