Derby, Amanda Ruth

Derby, Amanda Ruth is an individual health care provider with primary practice located at 30 Warren St , Brighton MA 02135-3602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Derby, Amanda Ruth can be contacted via phone (617) 254-3800.

Contact Information

Primary practice address
30 Warren St Brighton MA 02135-3602
Phone: (617) 254-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1912402157
LBN Legal business name Derby, Amanda Ruth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2018
Last updated Jul 28th, 2022 - about 4 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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