Individual
AMANDA RENEE DEBLAAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 PEACHTREE CT APT D, KENNEDALE, TX 76060-5485
(682) 221-7084
Mailing address
103 PEACHTREE CT APT D, KENNEDALE, TX 76060-5485
(682) 221-7084
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-295289
TX
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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