Individual
AMANDA JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9445 FARNHAM ST, #104, SAN DIEGO, CA 92123-1308
(866) 727-8274
Mailing address
9445 FARNHAM ST, #104, SAN DIEGO, CA 92123-1308
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18683
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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