| NPI | 1518200278 |
|---|---|
| Former Name | AMANDA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 10208358-2506) |
| Additional Taxonomies | 104100000X Social Worker |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2021-06-07 |