Benavidez, Amanda
Benavidez, Amanda is an sole proprietor health care provider with primary practice located at 14420 Elsworth St Ste 102 , Moreno Valley CA 92553-9027. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Benavidez, Amanda can be contacted via phone (951) 525-1990.Contact Information
Primary practice address
14420 Elsworth St Ste 102
Moreno Valley CA 92553-9027
Phone: (951) 525-1990
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1609466879 |
---|---|
LBN Legal business name | Benavidez, Amanda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 21st, 2021 |
Last updated | Jan 21st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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