Individual
AMANDA NICOLE BLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 SPRING VALLEY RD, DALLAS, TX 75244-3616
(972) 674-8477
Mailing address
7065 MISTFLOWER LN, DALLAS, TX 75231-5843
(945) 243-0333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-87492
TX
106S00000X
Behavior Technician
Primary
RBT-23-273640
TX
Other
Enumeration date
08/26/2024
Last updated
02/05/2026
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