Individual
AMANDA J VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
773 BANDIT TRL, KELLER, TX 76248-0111
(817) 948-8655
Mailing address
10700 AMBLING TRL, FORT WORTH, TX 76108-6943
(817) 770-3169
(817) 770-3169
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-99261
TX
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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