Amanda Rose Modrovsky

NPI #1376191247 in Allen, Texas

Provider Information

NPI Number: 1376191247
Entity Type: Individual
Name: Amanda Rose Modrovsky
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 3, 2019
Last Updated: Sep 3, 2019

Practice Location

Address: 1160 MONTGOMERY BLVD APT 4411
City: Allen
State: Texas
ZIP Code: 75013-2770
Phone: (905) 868-2603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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