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NPI Code Detail

MEDICARE: AMAYA PATRICE HAMILTON

MEDICARE: AMAYA PATRICE HAMILTON
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 Technician

General Provider Information

NPI Number : 1114880028
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAYA PATRICE HAMILTON
Provider Business Mailing Address
First Line : 14170 CELESTE ST
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92555-7115
Country : US
Telephone Number : 951-283-1033
Fax Number :
Provider Business Practice Location Address
First Line : 801 CORPORATE CENTER DR STE 210
Second Line :
City : POMONA
State : CA
Zip : 91768-2627
Country : US
Telephone Number : 951-283-1033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ AMAYA PATRICE HAMILTON ” Practice Location

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