Individual
AMANDA MAY SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 W 39TH ST STE 1, KEARNEY, NE 68845-8230
(308) 234-6834
Mailing address
31835 RIVERDALE RD, PLEASANTON, NE 68866-3130
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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