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Individual

AMANDA JO FARLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, BCBA

Contact information

Practice address
2785 S BAY ST STE A, EUSTIS, FL 32726-6591
(844) 668-6222
(888) 975-0599
Mailing address
PO BOX 963, MOUNT DORA, FL 32756-0963
(844) 668-6222
(888) 975-0599

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24578
FL

Other

Enumeration date
08/05/2013
Last updated
04/22/2022
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