Individual provider · NPI-1

Amanda Benton

Behavior Analyst · Santa Fe, NM

NPI number1851844229
StatusActive
Last updated in NPPESMar 20, 2017

Details

NPI
1851844229
Entity type
Individual (NPI-1)
Name
Amanda Benton
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2016
Last updated
Mar 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
247200000X Technician, Other––

Practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Phone 505-471-5006

Mailing address

4300 Sierra Blanca
Santa Fe, NM 87507-1631

Phone 432-349-9123

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