Custer, Amanda

Custer, Amanda is an individual health care provider with primary practice located at 7723 Miller Fall Rd , Derwood MD 20855-1128. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Custer, Amanda can be contacted via phone (240) 505-0859.

Contact Information

Primary practice address
7723 Miller Fall Rd Derwood MD 20855-1128
Phone: (240) 505-0859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-8253

Profile Details

NPI number 1831464924
LBN Legal business name Custer, Amanda
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated Mar 21st, 2012 - about 14 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 1831464924 NPPES
Other 1-11-8253 BOARD CERTIFIED BEHAVIOR ANALYST

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