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NPI Code Detail

MEDICARE: AMANDA LEIGH RITTER BCBA

MEDICARE: AMANDA LEIGH RITTER BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst3979TX

General Provider Information

NPI Number : 1407512841
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LEIGH RITTER BCBA
Provider Business Mailing Address
First Line : PO BOX 1108
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77580-1108
Country : US
Telephone Number : 281-576-2221
Fax Number : 281-576-3354
Provider Business Practice Location Address
First Line : 9600 EAGLE DR
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-5614
Country : US
Telephone Number : 281-576-2221
Fax Number : 281-576-3354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2021
Last Update Date : 11/10/2021

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