Individual
AMANDA MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
823 BROAD ST, AUGUSTA, GA 30901-1214
(706) 993-3829
(706) 955-1048
Mailing address
823 BROAD ST, AUGUSTA, GA 30901-1214
(706) 993-3829
(706) 955-1048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003244115B
—
GA
Enumeration date
12/10/2015
Last updated
11/17/2025
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