Individual
AMANDA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
21505 N 78TH AVE, SUITE 125, PEORIA, AZ 85382-3356
(303) 989-8169
Mailing address
21505 N 78TH AVE, SUITE 125, PEORIA, AZ 85382-3356
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000589
AZ
Other
Enumeration date
02/04/2020
Last updated
01/11/2021
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