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NPI Code Detail

MEDICARE: AMBER BOYD MS, BCBA

MEDICARE: AMBER BOYD MS, BCBA
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 Analyst

General Provider Information

NPI Number : 1740898436
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER BOYD MS, BCBA
Provider Business Mailing Address
First Line : 1758 WESSEL CT
Second Line :
City : ST CHARLES
State : IL
Zip : 60174-3524
Country : US
Telephone Number : 630-248-3383
Fax Number :
Provider Business Practice Location Address
First Line : 544 NEWTOWN RD STE 110
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-5603
Country : US
Telephone Number : 224-206-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2020
Last Update Date : 09/05/2024

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