Individual
AMANDA CAROLINE EMRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12724 GRAN BAY PARKWAY WEST, SUITE 410, JACKSONVILLE, FL 32258-9486
(855) 832-6727
Mailing address
383 FOXHILL DR, DEBARY, FL 32713-4526
(352) 256-8240
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29410
FL
106E00000X
Assistant Behavior Analyst
0-16-7061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009093700
—
FL
Enumeration date
07/16/2014
Last updated
08/21/2025
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