Johnston, Amanda R

Johnston, Amanda R is an individual health care provider with primary practice located at 17502 Hamilwood Dr , Houston TX 77095-1118. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Johnston, Amanda R can be contacted via phone (505) 330-8371.

Contact Information

Primary practice address
17502 Hamilwood Dr Houston TX 77095-1118
Phone: (505) 330-8371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 120815521 New Mexico
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1740553593
LBN Legal business name Johnston, Amanda R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Aug 13th, 2024 - about 2 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 1740553593 NPPES
New Mexico Other 120815521 DRIVERS LICENSE NUMBER

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