Individual
AMANDA MARIE GROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3868 W CARSON ST, #201, TORRANCE, CA 90503-6711
(310) 792-2877
(310) 792-2878
Mailing address
3868 W CARSON ST, #201, TORRANCE, CA 90503-6711
(310) 792-2877
(310) 792-2878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA 1-13-14937
CA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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