| NPI | 1669077434 |
|---|---|
| Former Name | AMANDA PENTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL Rbt20144563) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL Bacb607087) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |