Individual
AMANDA BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 E BROAD ST # 90, FUQUAY VARINA, NC 27526-1968
(855) 832-6727
Mailing address
375 SE BROAD ST STE A, SOUTHERN PINES, NC 28387-6000
(910) 537-2324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63273
NC
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/19/2015
Last updated
09/30/2025
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