Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-47173 | VA |
N | 106E00000X | Assistant Behavior Analyst | 0134000242 | VA |
N | 106S00000X | Behavior Technician | RBT-16-27090 | VA |
NPI | 1164938437 |
---|---|
Provider Name | Amanda Christine Stone |
First Address | Virginia Beach, VA 23462-6529 |
Second Address | Virginia Beach, VA 23462-6529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2017 |
Last Update Date | 25/01/2021 |