Wallace, Nyjah Amanda

Wallace, Nyjah Amanda is an individual health care provider with primary practice located at 4141 N Henderson Rd Ste 8 , Arlington VA 22203-2485. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wallace, Nyjah Amanda can be contacted via phone (571) 777-9210.

Contact Information

Primary practice address
4141 N Henderson Rd Ste 8 Arlington VA 22203-2485
Phone: (571) 777-9210
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1821628736
LBN Legal business name Wallace, Nyjah Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2020
Last updated Jan 20th, 2020 - about 6 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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