Individual
AMANDA TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
139 E COURT ST, ROCKY MOUNT, VA 24151-1703
(980) 785-1113
(980) 785-1114
Mailing address
4966 DOE RUN RD, ROCKY MOUNT, VA 24151-4558
(757) 710-6417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
106S00000X
Behavior Technician
RBT-18-47595
VA
Other
Enumeration date
02/12/2018
Last updated
02/23/2022
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