Individual
AMANDA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2404 RUTH HENTZ AVE BLDG B, PANAMA CITY, FL 32405-2258
(850) 628-1713
Mailing address
2404 RUTH HENTZ AVE BLDG B, PANAMA CITY, FL 32405-2258
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-447030
FL
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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