Individual
AMANDA ST ROMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1600 ROYAL CREST DR, #113, AUSTIN, TX 78741-2603
(318) 240-3575
Mailing address
1600 ROYAL CREST DR, #113, AUSTIN, TX 78741-2603
(318) 240-3575
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1149780
LA
Other
Enumeration date
10/06/2014
Last updated
10/21/2015
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