Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-21-150998 | MD |
NPI | 1003408980 |
---|---|
Provider Name | Amber Swiatkowski |
First Address | Fitchburg, MA 01420 |
Second Address | Forest Hill, MD 21050-3042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2021 |
Last Update Date | 11/02/2021 |