Healthcare Provider Details

I. General information

NPI: 1912208570
Provider Name (Legal Business Name): HEATHER LYNCH B.C.B.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER AMTMANN B.C.B.A.

II. Dates (important events)

Enumeration Date: 11/12/2010
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 EDGEWATER PLACE SUITE 100
WAKEFIELD MA
01880-1281
US

IV. Provider business mailing address

7108 S KANNER HWY
STUART FL
34997-7462
US

V. Phone/Fax

Practice location:
  • Phone: 617-855-1954
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: