Individual
MS. AMANDA E BLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
25 POST ST, SAN JOSE, CA 95113-2411
(858) 382-9572
Mailing address
506 RAILWAY AVE APT 320, CAMPBELL, CA 95008-3054
(858) 382-9572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19665
CA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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