Individual
AMANDA AGNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 RIVERVIEW DR STE 325, TOTOWA, NJ 07512-1180
(973) 307-0705
Mailing address
999 RIVERVIEW DR STE 325, TOTOWA, NJ 07512-1180
(973) 307-0705
(973) 319-2910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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