Weisenburger, Amanda Luz

Weisenburger, Amanda Luz 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. Weisenburger, Amanda Luz can be contacted via phone (757) 292-4774.

Contact Information

Primary practice address
4225 Portsmouth Blvd Ste B Chesapeake VA 23321-2154
Phone: (757) 292-4774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-15-07930
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-32626

Profile Details

NPI number 1043726094
LBN Legal business name Weisenburger, Amanda Luz
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2017
Last updated Sep 25th, 2018 - 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 1043726094 NPPES
Other 1-18-32626 BEHAVIOR ANAYLST CERTIFICATION BOARD
Other RBT-15-07930 BEHAVIOR ANAYLST CERTIFICATION BOARD

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