Individual
MISS AMANDA CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
16414 SOUTHPARK DR, WESTFIELD, IN 46074-8396
(317) 815-5501
Mailing address
16414 SOUTHPARK DR, WESTFIELD, IN 46074-8396
(404) 735-5506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
02/06/2015
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