Individual
AMANDA WINGENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 W 23RD ST, ERIE, PA 16506-5803
(814) 459-2788
(814) 456-4873
Mailing address
4950 W 23RD ST, ERIE, PA 16506-5803
(814) 459-2788
(814) 456-4873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008496
PA
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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