Modrovsky, Amanda Rose

Modrovsky, Amanda Rose is an individual health care provider with primary practice located at 1160 Montgomery Blvd Apt 4411 , Allen TX 75013-2770. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Modrovsky, Amanda Rose can be contacted via phone (905) 868-2603.

Contact Information

Primary practice address
1160 Montgomery Blvd Apt 4411 Allen TX 75013-2770
Phone: (905) 868-2603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-25162 Florida

Profile Details

NPI number 1376191247
LBN Legal business name Modrovsky, Amanda Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2019
Last updated Sep 3rd, 2019 - about 6 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 1376191247 NPPES
Florida Other 1-17-25162 BEHAVIORAL ABALYST CERTIFICATION BOARD

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