Individual
MS. AMANDA HOPE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7454 OLD MOUNTAIN ASH PIKE, WILLIAMSBURG, KY 40769-9763
(859) 801-7994
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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