Individual
AMANDA ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 INDUSTRIAL ST, JUNCTION CITY, KS 66441-8398
(913) 787-3969
Mailing address
2715 INDUSTRIAL ST, JUNCTION CITY, KS 66441-8398
(913) 787-3969
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18333
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-18333
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
03/28/2015
Last updated
04/11/2017
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