Individual
AMANDA DEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1346 NEWPORT AVE UNIT 97, SOUTH ATTLEBORO, MA 02703-8031
(774) 699-0481
Mailing address
1346 NEWPORT AVE UNIT 97, SOUTH ATTLEBORO, MA 02703-8031
(774) 699-0481
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
40075566
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1660412951
—
RI
Enumeration date
06/27/2022
Last updated
06/27/2022
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