Individual
AMANDA REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 S BUCHANAN ST, LAFAYETTE, LA 70501-5944
(337) 769-3413
Mailing address
311 WEAVER WAY, MAURICE, LA 70555-3483
(337) 962-7662
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
02/08/2024
Last updated
11/15/2024
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