Individual
AMANDA TALLENTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(772) 349-6317
Mailing address
147 ALMOND DR, GRANITEVILLE, SC 29829-3190
(910) 690-0166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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