Individual
AMANDA SIMONE DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
546 E SANDY LAKE RD STE 100, COPPELL, TX 75019-5786
(214) 390-3202
Mailing address
546 E SANDY LAKE RD STE 100, COPPELL, TX 75019-5786
(214) 390-3202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-304122
TX
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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