Individual
AMYLLEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4366
(505) 453-8448
Mailing address
3914 E HIDDENVIEW DR, PHOENIX, AZ 85048-7343
(916) 759-4362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000503
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/01/2018
Last updated
10/04/2021
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