Individual
AMANDA PANICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
1698 HIGHWAY 160 W STE 240, FORT MILL, SC 29708-8035
(704) 654-8599
Mailing address
14029 HATTON CROSS DR, CHARLOTTE, NC 28278-7842
(516) 589-2904
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
07/18/2024
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