Massey, Amanda

Massey, Amanda is an individual health care provider with primary practice located at 823 Broad St , Augusta GA 30901-1214. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Massey, Amanda can be contacted via phone (706) 993-3829.

Contact Information

Primary practice address
823 Broad St Augusta GA 30901-1214
Phone: (706) 993-3829
Fax: (706) 955-1048
Website:
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Health care specialties

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

Profile Details

NPI number 1760857106
LBN Legal business name Massey, Amanda
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Nov 17th, 2025 - about last year

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 1760857106 NPPES
Georgia MEDICAID 003244115B

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