Individual
AMANDA KAY WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 S MAIN ST, GROVE, OK 74344-5368
(918) 557-4496
Mailing address
1316 S WILDER TRL, REPUBLIC, MO 65738-2783
(417) 920-6969
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-87571
OK
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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