IndividualActive
Amanda Tatham, RBT-17-43450
NPI 1013406743 · Behavior Technician · Freeport, IL
Provider details
- NPI number
- 1013406743
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT-17-43450
- Sex
- Female
- Sole proprietor
- Yes
- License
- RBT-17-43450 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
621 S Locust Ave
Freeport, IL 61032-5028
Phone: (815) 541-2929
Approximate (ZIP-level) locationGet directions
Mailing address
621 S Locust Ave
Freeport, IL 61032-5028
Registry dates
- Enumerated
- 2018-05-08
- Last updated
- 2018-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.