Individual
ANITA AMAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 WIND ROSE CT, LITHONIA, GA 30058-3597
(402) 452-0224
Mailing address
1101 COLLIER RD NW, ATLANTA, GA 30318-8231
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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