Individual
AMANDA RALPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
83 PINE ST STE 102, PEABODY, MA 01960-3635
(978) 717-5062
Mailing address
11 BUXTON CT, ANDOVER, MA 01810-3508
(978) 395-1876
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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