Individual
MRS. AMANDA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
294 MORAVIAN CHURCH RD, SWEDESBORO, NJ 08085-3046
(856) 912-3183
Mailing address
294 MORAVIAN CHURCH RD, SWEDESBORO, NJ 08085-3046
(856) 912-3183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12364571
PA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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