Johnson, Amanda
Johnson, Amanda is an sole proprietor health care provider with primary practice located at 44 S Munn Ave Apt 1F , East Orange NJ 07018-3671. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Johnson, Amanda can be contacted via phone (862) 452-8245.Contact Information
Primary practice address
44 S Munn Ave Apt 1F
East Orange NJ 07018-3671
Phone: (862) 452-8245
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1629742523 |
|---|---|
| LBN Legal business name | Johnson, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2021 |
| Last updated | Aug 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629742523 | NPPES |
| New Jersey | MEDICAID | 6693 |
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