Individual
AMANDA K LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MOOSE RUN, BARRINGTON, NH 03825-5915
(603) 359-0549
Mailing address
10 COUNTRY CLUB DR APT 7, MANCHESTER, NH 03102-8727
(603) 833-6541
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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