Individual
AMANDA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6105 WINDCOM CT STE 200, PLANO, TX 75093-7814
(972) 312-8733
Mailing address
6105 WINDCOM CT STE 200, PLANO, TX 75093-7814
(972) 312-8733
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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