Individual
AMANDA YI SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9140 GUILFORD RD STE O, COLUMBIA, MD 21046-2584
(844) 244-1818
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106964659
—
MD
Enumeration date
05/24/2021
Last updated
05/24/2021
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