Individual
AMANDA AINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 HOLTEN AVE, STATEN ISLAND, NY 10309-4030
(917) 613-2239
Mailing address
380 HOLTEN AVE, STATEN ISLAND, NY 10309-4030
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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