Individual
AMANDA ROSE THORNDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 CENTRAL BLVD, BRENTWOOD, CA 94513-2242
(925) 809-6565
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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