Individual
AMANDA DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9301 S INNOVATION DR STE 103, DALEVILLE, IN 47334-9517
(574) 387-4315
Mailing address
215 RED COACH DR, MISHAWAKA, IN 46545-8307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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