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Individual

AMANDA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
4 BROADWAY AVENUE EXT UNIT 3, MYSTIC, CT 06355-2850
(860) 980-3233
Mailing address
10 BRENDEN ST, WESTERLY, RI 02891-1602
(401) 212-6079

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00123
RI

Other

Enumeration date
04/07/2018
Last updated
04/07/2018
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