Individual
AMANDA BLAIR MOKRACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1649 61ST ST STE 301, BROOKLYN, NY 11204-2746
(212) 481-4040
Mailing address
838 PIONEER DR, BRICK, NJ 08724-1057
(908) 910-9077
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15109
NJ
Other
Enumeration date
09/08/2013
Last updated
02/08/2026
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