Individual
MORGAN AMANDA VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1920 GRANDSTAND DR, SAN ANTONIO, TX 78238-4508
(832) 943-5226
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(832) 943-5226
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12257938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12257938
BCBA
TX
Enumeration date
02/16/2022
Last updated
02/18/2025
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