Individual
AMANDA FREDERKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 HIGHTOWER TRL, ATLANTA, GA 30350-6244
(866) 750-5554
Mailing address
1050 LENOX PARK BLVD NE APT 1311, BROOKHAVEN, GA 30319-5836
(404) 823-3396
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36497
GA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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