Enderli, Amy

Enderli, Amy is an individual health care provider with primary practice located at 4225 Portsmouth Blvd Ste B , Chesapeake VA 23321-2154. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Enderli, Amy can be contacted via phone (309) 212-5021.

Contact Information

Primary practice address
4225 Portsmouth Blvd Ste B Chesapeake VA 23321-2154
Phone: (309) 212-5021
Fax: (757) 282-7585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-33052 Florida

Profile Details

NPI number 1336653153
LBN Legal business name Enderli, Amy
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2017
Last updated May 30th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336653153 NPPES
Florida MEDICAID 023139300

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