| NPI | 1427468198 |
|---|---|
| Former Name | AMANDA COSETTE WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3793) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000333) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2021-02-12 |