Individual
MRS. AMANDA LANE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W BROADWAY, SUITE 800, SAN DIEGO, CA 92101-3546
(855) 832-6727
Mailing address
4172 HORVATH ST UNIT 108, CORONA, CA 92883-4463
(714) 402-1976
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
12/05/2025
Last updated
01/05/2026
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