Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Amanda Tatham, RBT-17-43450

Individual provider Behavior Technician · NPI 1013406743

Mrs. Amanda Tatham, RBT-17-43450 is a Behavior Technician in Freeport, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
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Practice location Address checks out

621 S Locust Ave
Freeport, IL 61032-5028
Phone: (815) 541-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-17-43450 (IL)

Record details

NPI number1013406743
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT-17-43450
Sole proprietorYes
NPI enumeratedMay 8, 2018
Last updated in NPPESMay 8, 2018

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