Individual
MRS. AMANDA LEA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1020 TRIMMIER RD, KILLEEN, TX 76541-8029
(254) 760-0494
Mailing address
327 CEDAR RIDGE DR, UNIT A, NOLANVILLE, TX 76559-4698
(254) 291-8085
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB246043
TX
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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