Deyoung, Amanda Nicole

Deyoung, Amanda Nicole is an sole proprietor health care provider with primary practice located at 1705 W Resseguie St , Boise ID 83702-3934. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Deyoung, Amanda Nicole can be contacted via phone (208) 861-1051.

Contact Information

Primary practice address
1705 W Resseguie St Boise ID 83702-3934
Phone: (208) 861-1051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-4741 Idaho
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-14177

Profile Details

NPI number 1912326638
LBN Legal business name Deyoung, Amanda Nicole
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2014
Last updated Apr 9th, 2014 - about 11 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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