Lam, Amanda
Lam, Amanda is an sole proprietor health care provider with primary practice located at 9620 S Roberts Rd , Hickory Hills IL 60457-2238. 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. Lam, Amanda can be contacted via phone (312) 554-5578.Contact Information
Primary practice address
9620 S Roberts Rd
Hickory Hills IL 60457-2238
Phone: (312) 554-5578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | Illinois |
Profile Details
| NPI number | 1427578251 |
|---|---|
| LBN Legal business name | Lam, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2017 |
| Last updated | Jan 9th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427578251 | NPPES |
| Illinois | MEDICAID | 463122413 |
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