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Individual

AMANDA RAE PRUESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
3501 BLAKE ST STE 250, DENVER, CO 80205-4889
(303) 907-0574
Mailing address
3501 BLAKE ST STE 250, DENVER, CO 80205-4889
(303) 907-0574

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62491
CO
106S00000X
Behavior Technician
RBT-20-127990
CO
106S00000X
Behavior Technician

Other

Enumeration date
01/10/2020
Last updated
03/22/2023
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