Individual
MISS AMANDA SARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
210 BELLEFONTE AVE, WILMINGTON, DE 19809-2502
(302) 762-2636
Mailing address
364 WESTFIELD DR, BROOMALL, PA 19008-3742
(610) 291-0074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB124609
PA
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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