Individual
AMANDA ELIZABETH TAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 TURNBERRY WAY, PINEHURST, NC 28374-8508
(704) 440-3580
Mailing address
2511 SICKLE WAY, FAYETTEVILLE, NC 28306-4552
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1366131
NC
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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