Individual
AMANDA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 N GRAND AVE STE K, SANTA ANA, CA 92705-8708
(657) 294-5113
Mailing address
2428 N GRAND AVE STE K, SANTA ANA, CA 92705-8708
(657) 294-5113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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