Individual
AMANDA GARRETTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. BCBA
Contact information
Practice address
6867 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8043
(904) 619-6071
Mailing address
2198 BLUE HERON COVE DR, ORANGE PARK, FL 32003-4929
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10332
FL
Other
Enumeration date
03/02/2012
Last updated
03/23/2012
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