Individual
AMANDA DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
15 BERGLUND AVE, WAKEFIELD, RI 02879-7102
(401) 749-2664
Mailing address
71 HIGHLAND AVE, NARRAGANSETT, RI 02882-3227
(401) 749-2664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
01/24/2020
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