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1669145660
AMANDA GAYLE CHAVEZ
LOUISVILLE, KY
NPI
1669145660
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Former Name
AMANDA GAYLE RICE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: KY 272032)
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
AMANDA GAYLE CHAVEZ LBA, BCBA
800 W WOODLAWN AVE
LOUISVILLE, KY 40215-2472
Phone number: 502-409-7181
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Mailing Address
AMANDA GAYLE CHAVEZ LBA, BCBA
800 W WOODLAWN AVE
LOUISVILLE, KY 40215-2472
Phone number: 502-409-7181
Copy
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