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Amanda Tatham, RBT-17-43450
NPI 1013406743 · on the registry since 2018 · sole proprietor
Practice
- Address
- 621 S Locust Ave
Freeport, IL 61032 - Phone
- (815) 541-2929
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois