Tara A Amor

Individual provider Active NPI Behavior Technician · MC Lean, VA

NPI 1346826567 · NPPES record last updated Mar 18, 2021

Key facts

NPI
1346826567
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8215 Peridot Dr Unit 103
MC Lean, VA 22102-3982
Phone
(703) 944-3888
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

8215 Peridot Dr Unit 103
MC Lean, VA 22102-3982

Mailing address

8215 Peridot Dr Unit 103
MC Lean, VA 22102-3982
Phone (703) 944-3888

Other providers in MC Lean, VA

All providers in MC Lean, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.