Amanda Gail Thacker

NPI #1982221974 in Ardmore, Oklahoma

Provider Information

NPI Number
1982221974
Entity Type
Individual
Name
Amanda Gail Thacker
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jun 25, 2020
Last Updated
Jun 25, 2020

Practice Location

Address
34 N WASHINGTON ST
ZIP Code
73401-7013
Phone
(580) 670-3117

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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