Individual
AMANDA CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 FOUNTAIN DR, SNELLVILLE, GA 30078-7022
(470) 398-2522
Mailing address
223 DOGWOOD DR, CARTERSVILLE, GA 30120-2011
(470) 398-2522
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-249996
GA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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