Individual
MISS AMANDA NYELL LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8480 BALTIMORE NATIONAL PIKE, STE 3210 #126, ELLICOTT CITY, MD 21043-2104
(914) 363-8313
Mailing address
3636 16TH ST NW APT A910, WASHINGTON, DC 20010-4142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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