Individual
AMANDA H QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10720 ROCKFORD RD APT 215, PLYMOUTH, MN 55442-2869
(763) 647-8926
Mailing address
5501 FELTL RD, MINNETONKA, MN 55343-3944
(952) 746-0222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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