Individual
AMANDA DLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 SAGINAW ST., FLINT, MI 48503
(810) 496-4955
Mailing address
6036 HEDGEROW CIR, GRAND BLANC, MI 48439-9788
(248) 930-3466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30628
MI
106S00000X
Behavior Technician
RBT-15-06363
MI
Other
Enumeration date
04/06/2017
Last updated
01/21/2025
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