Individual
AMANDA OFALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 621-1366
Mailing address
114 NANTHALA CT E, HERTFORD, NC 27944-9626
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
11/12/2025
Last updated
11/19/2025
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