Individual
AMANDA MIRISSA KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 8TH ST, ALAMOGORDO, NM 88310-5115
(866) 273-2451
(866) 608-5560
Mailing address
910 ORANGE ST, YUBA CITY, CA 95991-3930
(909) 275-5479
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
01/19/2026
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