Individual
AMANDA GAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
439 W HARRIS AVE, SAN ANGELO, TX 76903-6392
(325) 939-2650
Mailing address
3210 VALLEYVIEW BLVD, SAN ANGELO, TX 76904-7353
(325) 721-2201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3729
TX
Other
Enumeration date
09/09/2016
Last updated
11/10/2020
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