Organization
TOBA ESC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WEEKS MSED, MA (DIRECTOR)
(307) 514-0305
Entity
Organization
Contact information
Practice address
3116 OLD FAITHFUL RD STE 200, CHEYENNE, WY 82001-5895
(307) 514-0305
Mailing address
3116 OLD FAITHFUL RD STE 200, CHEYENNE, WY 82001-5895
(307) 514-0305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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