Individual
AMANDA BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E PRATT ST FL 8, BALTIMORE, MD 21202-3180
(833) 599-2560
Mailing address
10909 LAYTON ST, UPPER MARLBORO, MD 20774-1524
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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