Minahan, Amanda Rae

Minahan, Amanda Rae is an individual health care provider with primary practice located at 1921 W Irving Park Rd , Chicago IL 60613-2407. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Minahan, Amanda Rae can be contacted via phone (312) 243-8487.

Contact Information

Primary practice address
1921 W Irving Park Rd Chicago IL 60613-2407
Phone: (312) 243-8487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1124534987
LBN Legal business name Minahan, Amanda Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2017
Last updated Dec 15th, 2017 - about 8 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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