Individual
AMANDA DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99-870 IWAENA ST # 101, AIEA, HI 96701-3278
(808) 277-7736
Mailing address
99-870 IWAENA ST # 101, AIEA, HI 96701-3278
(808) 277-7736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-448
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/14/2018
Last updated
10/06/2020
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