Hall, Amanda

Hall, Amanda is an individual health care provider with primary practice located at 1700 Keswick Dr , Norfolk VA 23518-4926. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hall, Amanda can be contacted via phone (757) 275-5901.

Contact Information

Primary practice address
1700 Keswick Dr Norfolk VA 23518-4926
Phone: (757) 275-5901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1982270427
LBN Legal business name Hall, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Jun 3rd, 2021 - about 5 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 1982270427 NPPES
Virginia MEDICAID 351139448011

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