Individual
AMANDA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1145 SHADY OAK LN, DELAND, FL 32720-2546
(386) 837-5627
Mailing address
135 DAWSON BROWN RD, DE LEON SPRINGS, FL 32130-3526
(386) 414-0838
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103777000
—
FL
Enumeration date
08/06/2019
Last updated
09/04/2025
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