Individual
AMANDA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 N TRAINOR AVE, MANORVILLE, NY 11949-3231
(631) 878-5007
Mailing address
84 MULBERRY CMNS, RIVERHEAD, NY 11901-2657
(801) 718-4806
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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