Individual
AMANDA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
1161 E CLARK RD, DEWITT, MI 48820-7930
(517) 507-5565
(517) 481-2198
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33240
MI
Other
Enumeration date
01/23/2017
Last updated
09/20/2022
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