Amanda Grace West

NPI #1053943704 in Fountain, Colorado

Provider Information

NPI Number: 1053943704
Entity Type: Individual
Name: Amanda Grace West
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 11, 2020
Last Updated: Feb 11, 2020

Practice Location

Address: 901 N SANTA FE AVE
City: Fountain
State: Colorado
ZIP Code: 80817-1738
Phone: (719) 822-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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