Clark, Amanda Elizabeth

Clark, Amanda Elizabeth is an sole proprietor health care provider with primary practice located at 4505 Las Virgenes Rd Ste 107 , Calabasas CA 91302-1956. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Clark, Amanda Elizabeth can be contacted via phone (818) 932-9644.

Contact Information

Primary practice address
4505 Las Virgenes Rd Ste 107 Calabasas CA 91302-1956
Fax: (818) 932-8997
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-28708 California

Profile Details

NPI number 1710487996
LBN Legal business name Clark, Amanda Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2018
Last updated Feb 14th, 2018 - about 6 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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