Individual
AMANDA L DAHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4 BARLOWS LANDING RD, SUITE 13, POCASSET, MA 02559-1980
(508) 563-5767
(508) 563-5774
Mailing address
80 ANGUS ST, COVENTRY, RI 02816-4443
(508) 930-4942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13902705
—
RI
Enumeration date
07/01/2013
Last updated
09/24/2016
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