Individual
MS. AMANDA NICOLE KAPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W. & BCBA
Contact information
Practice address
679 KIDDER ST STE 8, WILKES BARRE TOWNSHIP, PA 18702-6973
(570) 266-0651
Mailing address
209 FOUR SEASONS DR, DRUMS, PA 18222-1227
(570) 956-6946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73479
PA
104100000X
Social Worker
SW129649
PA
Other
Enumeration date
06/05/2014
Last updated
10/26/2024
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