Individual
AMANDA LORRAINE JACOPETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13400 RIVERSIDE DR STE 209, SHERMAN OAKS, CA 91423-2545
(818) 308-6226
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14270
CA
Other
Enumeration date
04/19/2012
Last updated
10/27/2021
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