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Individual

MS. AMANDA TAYLOR HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2933 RIVERSIDE DR, WANTAGH, NY 11793-4636
(516) 557-4340
Mailing address
2933 RIVERSIDE DR, WANTAGH, NY 11793-4636
(516) 557-4340

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98898989898
AL
Enumeration date
06/26/2018
Last updated
06/26/2018
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