Amanda Jessica Mae Allen

NPI #1902361330 in Lacey, Washington

Provider Information

NPI Number: 1902361330
Entity Type: Individual
Name: Amanda Jessica Mae Allen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 11, 2019
Last Updated: Feb 11, 2019

Practice Location

Address: BASICS NW LLC
Address 2: 8282 28TH CT NE SUITE A
City: Lacey
State: Washington
ZIP Code: 98516
Phone: (360) 915-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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