Individual
AMANDA FAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA 1-25-85446
Contact information
Practice address
10781 E CHERRY BEND RD, TRAVERSE CITY, MI 49684-5249
(231) 268-0007
Mailing address
3358 RENNIE ST, TRAVERSE CITY, MI 49684-4634
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-85446
IN
Other
Enumeration date
11/09/2018
Last updated
01/07/2026
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