Individual
AMINA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
465 WINN WAY STE 130&140, DECATUR, GA 30030-1753
(470) 403-2830
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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