Individual
AMANDA KERSTIN LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GOOD DR, LANCASTER, PA 17603-4349
(484) 965-9966
(484) 231-8631
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
(484) 965-9966
(484) 231-8631
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005911
PA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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