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1174198808
AMANDA ICENOGLE
DOTHAN, AL
NPI
1174198808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 103k00000x)
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
AMANDA ICENOGLE
2543 ROSS CLARK CIR
DOTHAN, AL 36301-4925
Phone number: 334-699-4007
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Mailing Address
AMANDA ICENOGLE
60 COUNTY ROAD 755
ENTERPRISE, AL 36330-1553
Phone number: 334-464-0063
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