Individual
AMANDA JEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, MA, BCBA
Contact information
Practice address
34 MANOR HOUSE RD, BUDD LAKE, NJ 07828-2718
(201) 741-7900
Mailing address
34 MANOR HOUSE RD, BUDD LAKE, NJ 07828-2718
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8701
NJ
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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