NPI 1215479563
Amanda Panico, MSBCBALBA
Practice location
- Address
- 1698 Highway 160 W STE 240, Fort Mill, SC 29708-8035
- Phone
- (704) 654-8599
- Mailing address
- 14029 Hatton Cross Dr, Charlotte, NC 28278-7842
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1215479563
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Nov 2016
- Record last updated
- 18 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.