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1710547948
AMANDA FREDERKING
ATLANTA, GA
NPI
1710547948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 1-19-36497)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
AMANDA FREDERKING
1215 HIGHTOWER TRL
ATLANTA, GA 30350-6244
Phone number: 866-750-5554
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Mailing Address
AMANDA FREDERKING
1050 LENOX PARK BLVD NE APT 1311
BROOKHAVEN, GA 30319-5836
Phone number: 404-823-3396
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