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NPI Code Detail

MEDICARE: AMANDA CARVETH

MEDICARE: AMANDA CARVETH
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 Analyst0133001861VA

General Provider Information

NPI Number : 1881102440
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA CARVETH
Provider Business Mailing Address
First Line : 804 MOOREFIELD PARK DR STE 101
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3670
Country : US
Telephone Number : 585-230-3130
Fax Number :
Provider Business Practice Location Address
First Line : 804 MOOREFIELD PARK DR STE 101
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3670
Country : US
Telephone Number : 585-230-3130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 03/24/2026

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Directions to “ AMANDA CARVETH ” Practice Location

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