Most Relevant Information
Provider Data
| NPI Number: | 1003653437 |
| Provider Name: | AMANDA ANGAD BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2024 |
| Last Updated: | 07/12/2024 |
Provider Practice Location
11713 111TH AVE
SOUTH OZONE PARK
NY
114201208
Practice Location Phone/Fax
| Phone: | 3472797171 |
| Fax: |
Provider Mailing Location
11713 111TH AVE
SOUTH OZONE PARK
NY
114201208
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |