Jamba, Amy Michelle

Jamba, Amy Michelle is an sole proprietor health care provider with primary practice located at 1317 Jamestown Rd Suite 102-B, Williamsburg VA 23185-3364. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jamba, Amy Michelle can be contacted via phone (310) 940-8853.

Contact Information

Primary practice address
1317 Jamestown Rd Suite 102-B Williamsburg VA 23185-3364
Phone: (310) 940-8853
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000146 Virginia

Profile Details

NPI number 1760614382
LBN Legal business name Jamba, Amy Michelle
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2009
Last updated Feb 18th, 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 1760614382 NPPES
Virginia Other 542057784 TAX ID- FAMILY PRIORITY, LLC

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