MRS. AMANDA TATHAM, RBT-17-43450

Behavior Technician

Active Individual
NPI: 1013406743

Practice Address

621 S LOCUST AVE
Freeport, IL 61032

Phone: (815) 541-2929

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes RBT-17-43450 (IL)

Frequently Asked Questions

NPI 1013406743 is the National Provider Identifier for MRS. AMANDA TATHAM, RBT-17-43450, a Behavior Technician provider located in Freeport, IL. This NPI was enumerated on May 8, 2018.
MRS. AMANDA TATHAM, RBT-17-43450 practices at 621 S LOCUST AVE, Freeport, IL 61032.

Quick Facts

NPI
1013406743
Type
Individual
Enumerated
May 8, 2018
Last Updated
May 8, 2018

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