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Individual

AMANDA REAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
908 OLIVER ST, SCOTTSVILLE, KY 42164-7959
(270) 618-9773
Mailing address
908 OLIVER ST, SCOTTSVILLE, KY 42164-7959
(270) 618-9773

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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