Individual
AMANDA J BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
7307 WALNUT LN, PHILADELPHIA, PA 19138-1331
(716) 560-6064
Mailing address
7307 WALNUT LN, PHILADELPHIA, PA 19138-1331
(716) 560-6064
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003575
PA
103TS0200X
School Psychologist
7980852
PA
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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