Individual
AMANDA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3916 GATTIS SCHOOL RD STE 104, ROUND ROCK, TX 78664-8013
(804) 912-3500
Mailing address
317 BARLEY FORK LN, HUTTO, TX 78634-2234
(804) 912-3500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000333
VA
103K00000X
Behavior Analyst
Primary
3793
TX
Other
Enumeration date
05/05/2014
Last updated
02/12/2021
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