Individual
AMANDA STEPHENS PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1519 JOHNSON FERRY RD, MARIETTA, GA 30062-6409
(866) 523-4268
Mailing address
PO BOX 399318, SAN FRANCISCO, CA 94139-9318
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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