Individual
MS. AMANDA J MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ED
Contact information
Practice address
8 8TH AVE, EAST NORTHPORT, NY 11731-1817
(631) 974-7854
Mailing address
8 8TH AVE, EAST NORTHPORT, NY 11731-1817
(631) 974-7854
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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