Individual
AMANDA KAY BARSTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1152 UNIVERSITY BLVD APT 12, JUPITER, FL 33458-5245
(612) 860-3463
Mailing address
1152 UNIVERSITY BLVD APT 12, JUPITER, FL 33458-5245
(612) 860-3463
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-136119
FL
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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