Individual
MRS. AMY DIANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
427 S STUCKEY CHURCH RD, ALAMO, GA 30411-3878
(478) 463-5579
Mailing address
427 S STUCKEY CHURCH RD, ALAMO, GA 30411-3878
(478) 463-5579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-283781
GA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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