Individual
AMY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
848 CENTRAL DR, ODESSA, TX 79761-4202
(432) 400-1220
Mailing address
1650 LONE STAR DR, ODESSA, TX 79766-9025
(432) 272-9338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52353
TX
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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