Individual
MS. AMANDA CHRISTINE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21727 W INTERSTATE 10 STE 108, SAN ANTONIO, TX 78257-2108
(210) 455-1091
Mailing address
21727 W INTERSTATE 10 STE 108, SAN ANTONIO, TX 78257-2108
(210) 455-1091
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-364629
TX
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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