Most Relevant Information
Provider Data
| NPI Number: | 1003462086 |
| Provider Name: | AMANDA LYNNE SANON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2019 |
| Last Updated: | 08/14/2019 |
Provider Practice Location
246 N MISSION ST
WENATCHEE
WA
988012004
Practice Location Phone/Fax
| Phone: | 5092938116 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |