Individual
AMANDA ROSE MODROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 MONTGOMERY BLVD APT 4411, ALLEN, TX 75013-2770
(905) 868-2603
Mailing address
1160 MONTGOMERY BLVD APT 4411, ALLEN, TX 75013-2770
(905) 868-2603
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-25162
BEHAVIORAL ABALYST CERTIFICATION BOARD
FL
Enumeration date
09/03/2019
Last updated
09/03/2019
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