| NPI | 1013193994 |
|---|---|
| Former Name | AMANDA LEA TYRRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1130) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2023-09-28 |