Garcia Amaya, Manuela Del Mar

Garcia Amaya, Manuela Del Mar is an individual health care provider with primary practice located at 449 E Providencia Ave Apt H, Burbank CA 91501-2497. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Garcia Amaya, Manuela Del Mar can be contacted via phone (818) 679-8722.

Contact Information

Primary practice address
449 E Providencia Ave Apt H Burbank CA 91501-2497
Phone: (818) 679-8722
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X D8854276 California

Profile Details

NPI number 1790024446
LBN Legal business name Garcia Amaya, Manuela Del Mar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2013
Last updated Jan 31st, 2013 - about 13 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 1790024446 NPPES
California MEDICAID JQC94920925E

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