Individual
AMANDA MICHELLE O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
8 FOXFIELD CT, SAINT CHARLES, MO 63301-4107
(636) 706-8732
(636) 249-1443
Mailing address
8 FOXFIELD CT, SAINT CHARLES, MO 63301-4107
(636) 706-8732
(636) 249-1443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2017041229
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-27089
BACB
—
01
—
2017041229
LBA
MO
Enumeration date
01/18/2018
Last updated
12/08/2021
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