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Individual

AMANDA INDERHEES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
7413 SQUIRE CT, WEST CHESTER, OH 45069-2380
(513) 847-4685
(513) 847-4763
Mailing address
7413 SQUIRE CT, WEST CHESTER, OH 45069-2380

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
303
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
462876239
OH
Enumeration date
06/05/2017
Last updated
06/10/2022
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