Individual
AMANDA HOPE ENDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401
(800) 538-8365
Mailing address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39130
—
Other
Enumeration date
05/18/2018
Last updated
01/24/2020
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