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1023509445
AMANDA BACK
FAIRBORN, OH
NPI
1023509445
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Former Name
AMANDA OBERLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
Mrs. AMANDA BACK RBT
1750 COMMERCE CENTER BLVD
FAIRBORN, OH 45324-6333
Phone number: 937-878-8444
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Mailing Address
Mrs. AMANDA BACK RBT
326 GROVE ST
FAIRBORN, OH 45324-3004
Phone number: 937-450-4566
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