Individual
AMANDA JOY BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12015 BEXLEY CT, HENRICO, VA 23233-8401
(757) 812-9049
Mailing address
3113 W MARSHALL ST APT 521, RICHMOND, VA 23230-4742
(757) 812-9049
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003036
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
07/18/2022
Last updated
09/25/2023
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