Individual
AMANDA LORIN MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1120 ARONIA LN, GEORGETOWN, TX 78626-2787
(908) 770-0529
Mailing address
400 E ROYAL LN BLDG 3, IRVING, TX 75039-3540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109872
TX
106S00000X
Behavior Technician
RBT-1735134
TX
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109872
TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
TX
Enumeration date
12/20/2017
Last updated
05/20/2025
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