Most Relevant Information
Provider Data
| NPI Number: | 1003489014 |
| Provider Name: | AMANDA MORAN |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2021 |
| Last Updated: | 11/14/2022 |
Provider Practice Location
1744 W HORIZON RIDGE PKWY
HENDERSON
NV
890124833
Practice Location Phone/Fax
| Phone: | 7027423093 |
| Fax: |
Provider Mailing Location
290 SUTTON HILLS PL
HENDERSON
NV
890029745
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |