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Individual

MRS. AMANDA R TINCKNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA, LBA

Contact information

Practice address
23 THOMAS SHILLING CT, UPPERCO, MD 21155-9334
(267) 377-7362
Mailing address
1819 CASSANDRA DR UNIT 184, SYKESVILLE, MD 21784-6896
(267) 377-7362

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MD

Other

Enumeration date
05/26/2018
Last updated
06/02/2019
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