Amanda White
Behavior Technician in Dublin, CA. Individual provider (NPI-1).
NPI number1083102198
StatusActive
Last updated in NPPESApr 24, 2018
Details
- NPI
- 1083102198
- Entity type
- Individual (NPI-1)
- Name
- Amanda White
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2018
- Last updated
- Apr 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6475 Sierra LnDublin, CA 94568-2796
Phone 925-462-2281
Mailing address
3104 Saddle DrHayward, CA 94541-5724
Phone 510-751-9211
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