Individual
AMANDA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6146
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6146
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-11-4232
TX
Other
Enumeration date
03/26/2012
Last updated
11/30/2014
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