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Individual

AMANDA SOMTOCHUKWU TABANSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1778 N PLANO RD STE 100, RICHARDSON, TX 75081-1962
(956) 368-2634
(234) 256-8374
Mailing address
1778 N PLANO RD STE 100, RICHARDSON, TX 75081-1962
(956) 368-2634
(234) 256-8374

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1496538
TX

Other

Enumeration date
02/11/2026
Last updated
02/11/2026
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