Individual
AMANDA KAGE BAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1300 N PALAFOX ST STE 103, PENSACOLA, FL 32501-2678
(850) 860-2903
Mailing address
1300 N PALAFOX ST STE 103, PENSACOLA, FL 32501-2678
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
07/01/2025
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