Individual
MISS AMANDA JOSEPHINE JAKUBOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
203 S ELMER AVE, SAYRE, PA 18840-2019
(607) 329-1235
Mailing address
203 S ELMER AVE, SAYRE, PA 18840-2019
(607) 329-1235
(607) 535-2666
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/14/2013
Last updated
08/24/2021
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