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Individual

AMANDA KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
4 LACONIA DR, CLINTON, CT 06413-1222
(860) 531-9621
Mailing address
4 LACONIA DR, CLINTON, CT 06413-1222
(860) 531-9621

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CT

Other

Enumeration date
12/12/2021
Last updated
12/12/2021
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