Individual
AMANDA CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12276 SAN JOSE BLVD, JACKSONVILLE, FL 32223-8628
(904) 637-8650
Mailing address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 637-8650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
07/14/2023
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