Individual
AMANDA LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7750 COLLEGE TOWN DR STE 204, SACRAMENTO, CA 95826-2362
(888) 428-3223
(323) 866-1881
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59316
CA
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
03/30/2017
Last updated
10/31/2023
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