Individual
AMANDA PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 CONDOR DR, RIALTO, CA 92377-4715
(909) 496-8745
Mailing address
116 CONDOR DR, RIALTO, CA 92377-4715
(909) 496-8745
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16629
CA
Other
Enumeration date
04/01/2021
Last updated
12/01/2025
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