Individual
AMANDA M DORVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 ACADEMY AVE, HAMPTON, NH 03842-2279
(603) 502-6134
Mailing address
176 DRAKESIDE RD UNIT 200, HAMPTON, NH 03842-1833
(603) 502-6134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-265106
NH
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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