Individual
AMANDA COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1045 MAIN ST STE 2, DANVILLE, VA 24541-1800
(434) 835-4765
Mailing address
351 BARLEY RD, REIDSVILLE, NC 27320-8333
(336) 613-8036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT21166753
—
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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