Individual
AMANDA ELIZABETH PASTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
46 JUSTAMERE DR, OSSINING, NY 10562-3902
(401) 595-3633
Mailing address
46 JUSTAMERE DR, OSSINING, NY 10562-3902
(401) 595-3633
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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