Individual
SANDY AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2785 CASON ST # 2, LAFAYETTE, IN 47904-2843
(765) 446-4185
(765) 448-1864
Mailing address
314 THAMES AVE, LAFAYETTE, IN 47909-2983
(765) 357-1449
(855) 940-0177
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64800
IN
Other
Enumeration date
12/18/2020
Last updated
04/17/2023
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