Individual
MISS AMANDA LYNN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, IBA, LBA
Contact information
Practice address
2202 MANDARIN LOOP, DUNDEE, FL 33838-4387
(321) 486-9243
(321) 486-9329
Mailing address
2202 MANDARIN LOOP, DUNDEE, FL 33838-4387
(321) 486-9243
(321) 486-9329
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020898300
—
FL
01
—
1-21-54758
BOARD CERTIFIED BEHAVIOR ANALYST (BCBA) WITH THE BACB
—
Enumeration date
05/12/2017
Last updated
11/06/2025
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