Individual
DR. AMANDA MENTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS MA MA MPHIL PHD
Contact information
Practice address
107 W 82ND ST STE 101, NEW YORK, NY 10024-5511
(646) 450-6210
Mailing address
20801 34TH AVE, BAYSIDE, NY 11361-1333
(717) 554-4053
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5749
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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