Pendergast, Amanda Kay

Pendergast, Amanda Kay is an individual health care provider with primary practice located at 732 Beckman St , Dayton OH 45410-2165. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Pendergast, Amanda Kay can be contacted via phone (937) 253-1680.

Contact Information

Primary practice address
732 Beckman St Dayton OH 45410-2165
Phone: (937) 253-1680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1477042240
LBN Legal business name Pendergast, Amanda Kay
Credentials LCDCII
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2018
Last updated May 7th, 2018 - about 8 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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