Individual
AMANDA KAYE SIAMRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RBT
Contact information
Practice address
8875 SYNERGY DR, MCKINNEY, TX 75070-6503
(972) 872-8454
Mailing address
6085 WATER ST APT 2472, PLANO, TX 75024-0140
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-88841
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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