Individual
AMANDA T NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
201 W LEE ST, ENTERPRISE, AL 36330-2424
(334) 792-5020
Mailing address
1980 FORRESTER RD, DOTHAN, AL 36301-9454
(334) 379-9147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019-046
AL
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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