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1003382532
AMANDA ADELE DOUGHERTY
EDISON, NJ
NPI
1003382532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
AMANDA ADELE DOUGHERTY
3826 PARK AVE STE 102
EDISON, NJ 08820-2565
Phone number: 848-247-6235
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Mailing Address
AMANDA ADELE DOUGHERTY
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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