Individual
AMANDA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
700 BELL DR SW, CEDAR RAPIDS, IA 52404-7406
(319) 294-9577
Mailing address
700 BELL DR SW, CEDAR RAPIDS, IA 52404-7406
(319) 294-9577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA1055
IA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/22/2018
Last updated
08/22/2024
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