Bertolotti, Amanda

Bertolotti, Amanda is an individual health care provider with primary practice located at 5 Squires Ave , Port Jefferson Station NY 11776-4324. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bertolotti, Amanda can be contacted via phone (631) 905-7460.

Contact Information

Primary practice address
5 Squires Ave Port Jefferson Station NY 11776-4324
Phone: (631) 905-7460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1760057210
LBN Legal business name Bertolotti, Amanda
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2021
Last updated May 26th, 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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