Individual
AMANDA SUE PAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(785) 466-1548
Mailing address
600 MCNEILL HOBBS RD, BUNNLEVEL, NC 28323-8984
(785) 466-1548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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