Individual
AMANDA EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
19615 LIVERPOOL PKWY STE B, CORNELIUS, NC 28031-4075
(818) 241-6780
(800) 819-7806
Mailing address
PO BOX 767938, ROSWELL, GA 30076-7938
(818) 241-6780
(800) 819-7806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34016
NC
103K00000X
Behavior Analyst
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Other
Enumeration date
01/08/2019
Last updated
06/08/2021
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