Individual
AMANDA PENTON-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 BURNING TREE LN, JACKSONVILLE, NC 28546-9612
(910) 357-4181
Mailing address
106 BURNING TREE LN, JACKSONVILLE, NC 28546-9612
(910) 357-4181
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
NC
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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