Most Relevant Information
Provider Data
| NPI Number: | 1003449349 |
| Provider Name: | AMANDA MESHAW BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/14/2020 |
| Last Updated: | 09/25/2024 |
Provider Practice Location
997 ATLANTIC BLVD
ATLANTIC BEACH
FL
322333311
Practice Location Phone/Fax
| Phone: | 9046471849 |
| Fax: |
Provider Mailing Location
2142 PECOS WAY
JACKSONVILLE
FL
322464185
Provider Mailing Phone/Fax
| Phone: | 9045140982 |
| Fax: |