Black, Amanda Virginia

Black, Amanda Virginia is an individual health care provider with primary practice located at 1000 Crawford Pl , Mount Laurel NJ 08054-3932. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Black, Amanda Virginia can be contacted via phone (856) 689-1799.

Contact Information

Primary practice address
1000 Crawford Pl Mount Laurel NJ 08054-3932
Phone: (856) 689-1799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-10201

Profile Details

NPI number 1154966620
LBN Legal business name Black, Amanda Virginia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2019
Last updated Nov 8th, 2019 - about 5 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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