Individual
AMANDA EMILIA BARDALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 WILLIS ST APT 2, DORCHESTER, MA 02125-4364
(562) 338-8571
Mailing address
24 WILLIS ST APT 2, DORCHESTER, MA 02125-4364
(562) 338-8571
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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