Individual
AMANDA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8440 PIT STOP CT NW, CONCORD, NC 28027-8245
(704) 960-1729
Mailing address
2675 COURT DR # B, GASTONIA, NC 28054-1478
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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