AMANDA VICKSTROM

BLOOMINGTON, IN
NPI1538983192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-24-391130)
Enumeration Date2024-11-11
Last Update Date2024-11-11
Business Address
AMANDA VICKSTROM RBT
227 W GRIMES LN
BLOOMINGTON, IN 47403-3015
Phone number: 812-322-0313
Mailing Address
AMANDA VICKSTROM RBT
PO BOX 668
BLOOMINGTON, IN 47402-0668
Phone number: 812-322-0313
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