Individual
AMANDA SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.C.B.A.
Contact information
Practice address
3180 IMJIN RD STE 149, MARINA, CA 93933-5111
(831) 786-0600
Mailing address
11212 SHALLOW WATER RD, AUSTIN, TX 78717-4495
(973) 727-2334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18373
CA
Other
Enumeration date
04/15/2015
Last updated
10/09/2018
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