Individual
MRS. AMANDA M. PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 FIR LOOP, CEDAR CREST, NM 87008-9468
(505) 353-2215
Mailing address
10 FIR LOOP, CEDAR CREST, NM 87008-9468
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/16/2018
Last updated
07/27/2020
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