Individual
AMANDA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 WATERS EDGE DR STE 100, RALEIGH, NC 27606-5662
(919) 303-1255
(919) 573-9474
Mailing address
2513 OVERLOOK CREEK WAY, RALEIGH, NC 27612-3336
(770) 608-2951
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-161003
NC
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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