Organization
AMANDA ELLIOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA LEA ELLIOTT BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(254) 291-8085
Entity
Organization
Contact information
Practice address
1008 ISHEE DR, CLARKSVILLE, TN 37042-6672
12542918085
Mailing address
1008 ISHEE DR, CLARKSVILLE, TN 37042-6672
12542918085
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
06/20/2018
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