Bohannon, Amy Nicole

Bohannon, Amy Nicole is an individual health care provider with primary practice located at 3615 Stoney Ridge Rd , Midlothian VA 23112-4533. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bohannon, Amy Nicole can be contacted via phone (804) 687-5097.

Contact Information

Primary practice address
3615 Stoney Ridge Rd Midlothian VA 23112-4533
Phone: (804) 687-5097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1316450612
LBN Legal business name Bohannon, Amy Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2017
Last updated Apr 30th, 2024 - about 2 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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