Healthcare Provider Details

I. General information

NPI: 1306772843
Provider Name (Legal Business Name): CYNTHIA AMAYA-ANDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306A CARLTON RD
CHARLOTTESVILLE VA
22902-5928
US

IV. Provider business mailing address

306A CARLTON RD
CHARLOTTESVILLE VA
22902-5928
US

V. Phone/Fax

Practice location:
  • Phone: 540-908-9998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133004008
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: