Individual
AMANDA GAVALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 912-6147
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 912-6147
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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