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NPI Code Detail

MEDICARE: MS. AMANDA LEE BELLMYER M.ED., B.C.B.A

MEDICARE: MS. AMANDA LEE BELLMYER M.ED., B.C.B.A
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
1103K00000XBehavior Analyst1063046FL

General Provider Information

NPI Number : 1689856601
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA LEE BELLMYER M.ED., B.C.B.A
Provider Business Mailing Address
First Line : 2269 COLUMBIA DRIVE
Second Line :
City : AUBURN
State : AL
Zip : 36830
Country : US
Telephone Number : 256-404-8657
Fax Number : 877-286-4141
Provider Business Practice Location Address
First Line : 928 MANCHESTER EXPY
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-6535
Country : US
Telephone Number : 706-649-1371
Fax Number : 877-286-4141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2007
Last Update Date : 03/30/2012

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