Individual
AMANDA HAUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 RIVER RUN STE 200, FORT WORTH, TX 76107-6670
(817) 886-7667
Mailing address
1751 RIVER RUN STE 200, FORT WORTH, TX 76107-6670
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-286821
TX
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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