Individual
AMANDA WASHNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 MASON ST STE B310, DEARBORN, MI 48124-2231
(734) 713-9060
Mailing address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5326
(248) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2019
Last updated
07/25/2019
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