Individual
AMANDA MARIE KAVALARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 W PRAIRIE DR STE G, SYCAMORE, IL 60178-3123
(779) 269-4065
Mailing address
920 W PRAIRIE DR STE G, SYCAMORE, IL 60178-3123
(779) 269-4065
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-82792
WA
Other
Enumeration date
08/15/2016
Last updated
09/30/2025
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