Myers, Amy Beth
Myers, Amy Beth is an individual health care provider with primary practice located at 17 Farragut Ave , Colorado Springs CO 80909-5625. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Myers, Amy Beth can be contacted via phone (719) 327-2084.Contact Information
Primary practice address
17 Farragut Ave
Colorado Springs CO 80909-5625
Phone: (719) 327-2084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-16-21940 | Colorado |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0005337 | Colorado |
Profile Details
| NPI number | 1609182260 |
|---|---|
| LBN Legal business name | Myers, Amy Beth |
| Credentials | MA, LPC, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2010 |
| Last updated | Sep 17th, 2019 - about 7 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 | 1609182260 | NPPES |
| Colorado | MEDICAID | 74450263 |
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