Individual
AMANDA J SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12735 GRAN BAY PKWY W STE 204, JACKSONVILLE, FL 32258-4499
(904) 444-7800
Mailing address
PO BOX 331025, ATLANTIC BEACH, FL 32233-1025
(904) 444-7800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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