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Individual

MRS. AMANDA COOK PACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., B.C.B.A.

Contact information

Practice address
2206 EXECUTIVE PARK DR, OPELIKA, AL 36801-6062
(334) 332-9077
(334) 363-0740
Mailing address
2206 EXECUTIVE PARK DR, OPELIKA, AL 36801-6062
(334) 332-9077
(334) 363-0740

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/21/2010
Last updated
12/12/2017
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