Amanda Rose Modrovsky Valid NPI
Individual provider · Behavior Analyst · Allen, TX
- NPI
- 1376191247
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- 1-17-25162 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-09-03
- Last updated
- 2019-09-03
Practice location
1160 Montgomery Blvd Apt 4411
Allen, TX 75013-2770
(905) 868-2603