Individual
MRS. AMANDA GRACE DISSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
32565 GOLDEN LANTERN SUITE B 180, DANA POINT, CA 92629
(714) 552-1317
(714) 782-5611
Mailing address
32565 GOLDEN LANTERN SUITE B 180, DANA POINT, CA 92629
(714) 552-1317
(714) 782-5611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
12/09/2013
Last updated
11/10/2025
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