Individual
AMANDA CAROL YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18401 TIMBER FOREST DR, HUMBLE, TX 77346-2535
(281) 624-5093
Mailing address
6222IH10, SUITE 104, SAN ANTONIO, TX 78201
(210) 447-0339
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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