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Amanda Moran

Behavior Technician in Henderson, NV. Individual provider (NPI-1).

NPI number1003489014
StatusActive
Last updated in NPPESNov 14, 2022

Details

NPI
1003489014
Entity type
Individual (NPI-1)
Name
Amanda Moran
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 19, 2021
Certification date
Nov 14, 2022
Last updated
Nov 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
103K00000X Behavior Analyst––

Practice location

1744 W Horizon Ridge Pkwy
Henderson, NV 89012-4833

Phone 702-742-3093

Mailing address

290 Sutton Hills Pl
Henderson, NV 89002-9745

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