Individual
AMANDA FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6363 S PECOS RD STE 206, LAS VEGAS, NV 89120-6293
(321) 426-7759
Mailing address
175 MIDDLE ST UNIT 1201, LAKE MARY, FL 32746-3625
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/10/2017
Last updated
11/05/2020
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