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Individual

AMANDA DERFLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
304 WEST ST, TONGANOXIE, KS 66086-9714
(913) 417-7061
(913) 417-7062
Mailing address
6610 MORNING RIDE CIR, ALEXANDRIA, VA 22315-5052
(618) 731-3081
(913) 417-7062

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001584
VA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
10/25/2011
Last updated
04/07/2021
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