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NPI Code Detail

MEDICARE: AMANDA MICHELLE HORNSBY

MEDICARE: AMANDA MICHELLE HORNSBY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-16-23025FL
2101YM0800XMental Health CounselorIMH25050FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750849972
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MICHELLE HORNSBY
Provider Business Mailing Address
First Line : 9999 CHEMSTRAND RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-2724
Country : US
Telephone Number : 850-471-3430
Fax Number :
Provider Business Practice Location Address
First Line : 9999 CHEMSTRAND RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-2724
Country : US
Telephone Number : 850-471-3430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2019
Last Update Date : 01/31/2024

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Directions to “ AMANDA MICHELLE HORNSBY ” Practice Location

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