Individual
AMANDA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 HILLRISE CIR, LAS CRUCES, NM 88011-4741
(575) 288-1881
(575) 288-1889
Mailing address
1250 HILLRISE CIR, LAS CRUCES, NM 88011-4741
(575) 288-1881
(575) 288-1889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-58598
NM
103K00000X
Behavior Analyst
4933
TX
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
4326
TX
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
10699
—
Other
Enumeration date
07/25/2019
Last updated
06/17/2025
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