Individual
AMANDA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N PARK TRL, STOCKBRIDGE, GA 30281-7373
(760) 424-9270
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(491) 491-2050
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13448
GA
106S00000X
Behavior Technician
RBT-19-106491
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-106491
RBT
—
Enumeration date
08/28/2020
Last updated
03/07/2024
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