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Amanda Lyn Couch, M.A., BCBA

Behavior Analyst in Broken Arrow, OK. Individual provider (NPI-1).

NPI number1669080297
StatusActive
Last updated in NPPESOct 26, 2022

Details

NPI
1669080297
Entity type
Individual (NPI-1)
Name
Mrs. Amanda Lyn Couch
Credential
M.A., BCBA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 20, 2020
Certification date
Oct 26, 2022
Last updated
Oct 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-20-44619OKYes

Practice location

2208 W Detroit St
Broken Arrow, OK 74012-3629

Phone 918-900-6237

Mailing address

2603 W Baton Rouge Pl
Broken Arrow, OK 74011-2022

Phone 208-221-4599

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