Gonzales, Amanda

Gonzales, Amanda is an individual health care provider with primary practice located at 8270 Willow Oaks Corporate Dr , Fairfax VA 22031-4530. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gonzales, Amanda can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
8270 Willow Oaks Corporate Dr Fairfax VA 22031-4530
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1770167959
LBN Legal business name Gonzales, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2021
Last updated May 12th, 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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