Individual
MRS. AMANDA STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001376
PA
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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