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Individual

MRS. AMANDA MARIE MOITOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
875 CRESCENT WAY, ARCATA, CA 95521-6741
(707) 499-4105
Mailing address
1116 JOANNA CT, MCKINLEYVILLE, CA 95519-3946
(805) 501-9102

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/06/2020
Last updated
01/06/2020
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