Individual
AMANDA JESSICA MAE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BASICS NW LLC, 8282 28TH CT NE SUITE A, LACEY, WA 98516
(360) 915-6868
Mailing address
BASICS NW LLC, 8282 28TH CT NE SUITE A, LACEY, WA 98516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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