Individual
AMANDA MICHELLE FIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 NE 5TH ST, MERIDIAN, ID 83642
(213) 258-7471
Mailing address
1326 NE 5TH ST, MERIDIAN, ID 83642
(213) 258-7471
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
10/14/2021
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