Most Relevant Information
Provider Data
| NPI Number: | 1003665027 |
| Provider Name: | AMANDA MARIE HANEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2024 |
| Last Updated: | 05/13/2024 |
Provider Practice Location
3555 SUNSET OFFICE DR STE 101
SAINT LOUIS
MO
631271045
Practice Location Phone/Fax
| Phone: | 3149140363 |
| Fax: |
Provider Mailing Location
8300 JEFFERSON ST NE STE B
ALBUQUERQUE
NM
871131734
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |