Amanda Wyckoff
Behavior Technician in Holyoke, MA. Individual provider (NPI-1).
NPI number1982128989
StatusActive
Last updated in NPPESAug 1, 2017
Details
- NPI
- 1982128989
- Entity type
- Individual (NPI-1)
- Name
- Amanda Wyckoff
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2017
- Last updated
- Aug 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
260 Westfield RdHolyoke, MA 01040-1662
Phone 413-355-0081 · Fax 413-355-0081
Mailing address
290 Sheridan StChicopee, MA 01020-2729
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