Individual
AMANDA PEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5235 NEBRASKA AVE NW, WASHINGTON, DC 20015-1323
(301) 275-5462
Mailing address
5235 NEBRASKA AVE NW, WASHINGTON, DC 20015-1323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10006
DC
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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