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Individual

AMANDA DAWN KNOTTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBA

Contact information

Practice address
1300 INDIAN CAMP RD, CLAYTON, NC 27520-7009
(919) 901-9399
Mailing address
65 GLEN RD, GARNER, NC 27529-7943
(919) 636-9966
(919) 636-9966

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
134
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-21-452673
BCBA
NC
Enumeration date
10/01/2019
Last updated
07/22/2026
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