Most Relevant Information
Provider Data
| NPI Number: | 1003494774 |
| Provider Name: | AMANDA GILMOR |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 2021011010 |
Most Important Dates
| Enumeration Date: | 04/01/2021 |
| Last Updated: | 04/01/2021 |
Provider Practice Location
650 OFFICE PKWY
SAINT LOUIS
MO
631417103
Practice Location Phone/Fax
| Phone: | 6362211302 |
| Fax: |
Provider Mailing Location
1045 W 7TH ST
WASHINGTON
MO
630901705
Provider Mailing Phone/Fax
| Phone: | 6362211302 |
| Fax: |