Individual
MISS AMANDA RUTH CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 MAHAN DR, TALLAHASSEE, FL 32308-6127
(850) 320-6555
(888) 873-4610
Mailing address
1807 1ST ST S, JACKSONVILLE, FL 32250-6256
(904) 662-4142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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