Individual
AMANDA MARIE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
3652 MICHELSON DR, IRVINE, CA 92612-1727
(949) 474-1493
Mailing address
3652 MICHELSON DR, IRVINE, CA 92612-1727
(949) 474-1493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
03/06/2023
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