Individual
AMANDA WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NW 167TH PL STE 115, BEAVERTON, OR 97006-4846
(503) 302-8869
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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