Individual
AMAYIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 PLAZA DR STE 1000, ROCKLIN, CA 95765-4419
(888) 922-2843
(855) 568-2494
Mailing address
18726 S WESTERN AVE STE 408, GARDENA, CA 90248-3858
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Y7143133
—
CA
Enumeration date
01/28/2022
Last updated
01/28/2022
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