Individual
AMANDA BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
429 CREEKSTONE RDG, WOODSTOCK, GA 30188-3746
(678) 996-4998
(844) 233-7089
Mailing address
226 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 996-4998
(844) 233-7089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40056
GA
Other
Enumeration date
09/30/2016
Last updated
01/06/2020
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