Healthcare Provider Details

I. General information

NPI: 1477464295
Provider Name (Legal Business Name): EGYPT AMIYAH CAINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 SPRING GARDEN STREET 2ND FLOOR
PHILADELPHIA PA
19130
US

IV. Provider business mailing address

1822 SPRING GARDEN ST SIDE 2
PHILADELPHIA PA
19130-4138
US

V. Phone/Fax

Practice location:
  • Phone: 215-607-6835
  • Fax:
Mailing address:
  • Phone: 215-607-6835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: