Individual
MRS. AMANDA MARIE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
185 MITTIE HADDOCK DR, CAMERON, NC 28326-9379
(800) 991-6070
Mailing address
316 MID VALLEY CTR # 186, CARMEL, CA 93923-8516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39771
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/28/2017
Last updated
12/22/2019
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