Williams, Amanda

Williams, Amanda is an individual health care provider with primary practice located at 12125 Day St Ste Ee301 , Moreno Valley CA 92557-6702. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Williams, Amanda can be contacted via phone (951) 344-2166.

Contact Information

Primary practice address
12125 Day St Ste Ee301 Moreno Valley CA 92557-6702
Phone: (951) 344-2166
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1356832406
LBN Legal business name Williams, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2018
Last updated May 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356832406 NPPES
California MEDICAID R12167875

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