Dissmore, Amanda Grace

Dissmore, Amanda Grace is an individual health care provider with primary practice located at 8112 Pawtucket Dr , Huntington Beach CA 92646-6734. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Dissmore, Amanda Grace can be contacted via phone (714) 552-1317.

Contact Information

Primary practice address
8112 Pawtucket Dr Huntington Beach CA 92646-6734
Phone: (714) 552-1317
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1245661727
LBN Legal business name Dissmore, Amanda Grace
Credentials M.A., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2013
Last updated Oct 2nd, 2014 - about 10 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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