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Mariana Amezcua

Behavior Technician in Munster, IN. Individual provider (NPI-1).

NPI number1942014162
StatusActive
Last updated in NPPESMar 19, 2025

Details

NPI
1942014162
Entity type
Individual (NPI-1)
Name
Mariana Amezcua
Sex
Female
Sole proprietor
No
Enumeration date
Feb 6, 2025
Certification date
Mar 19, 2025
Last updated
Mar 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

10419 Calumet Ave Ste B
Munster, IN 46321-4059

Phone 219-301-9715

Mailing address

10419 Calumet Ave Ste B
Munster, IN 46321-4059

Phone 219-301-9715

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