Individual
AMELIA NICOLE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,BCBA,PCPL
Contact information
Practice address
806 W FIVE MILE PKWY, DALLAS, TX 75224-4913
(214) 585-5995
Mailing address
806 W FIVE MILE PKWY, DALLAS, TX 75224-4913
(318) 805-4115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CI-5806
LA
101YS0200X
School Counselor
AN536284
LA
103K00000X
Behavior Analyst
Primary
L-135
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411659
—
LA
Enumeration date
12/26/2013
Last updated
04/29/2026
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