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Individual
MISS AMANDA NICOLE KOPP
Active
Individual
MISS AMANDA NICOLE KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2023-054
AL
103K00000X
Behavior Analyst
Primary
220059
MS
Other
Enumeration date
11/12/2014
Last updated
05/17/2024
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