Healthcare Provider Details

I. General information

NPI: 1861195828
Provider Name (Legal Business Name): MISS AMAYA GABRIELLE ENGLISH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 CEDAR HILL ST STE 200
MARLBOROUGH MA
01752-5900
US

IV. Provider business mailing address

711 SUNMEADOW DR
BROWNS SUMMIT NC
27214-9053
US

V. Phone/Fax

Practice location:
  • Phone: 366-255-0095
  • Fax:
Mailing address:
  • Phone: 366-255-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberA2694
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: