Individual
AMANDA EILEEN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3498 S OAKLAWN CIR, BLOOMINGTON, IN 47401-8564
(812) 828-7456
Mailing address
3498 S OAKLAWN CIR, BLOOMINGTON, IN 47401-8564
(812) 828-7456
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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