Amy R Black
Behavior Analyst
84 Route 59 Ste 102
Suffern
, New York 10901-4910
Amy R Black
Behavior Analyst
84 Route 59 Ste 102
Suffern
, New York 10901-4910
(718) 650-6540
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Amy R Black
- 84 Route 59 Ste 102
- Suffern, NY
- Zip : 10901-4910
- Phone : (718) 650-6540
Second Address
- Amy R Black
- 84 Route 59 Ste 102
- Suffern, NY
- Zip : 10901-4910
- Phone : (718) 650-6540
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst |
National Provider Identifier
| NPI | 1003385162 |
|---|---|
| Provider Name | Amy R Black |
| First Address | Suffern, NY 10901-4910 |
| Second Address | Suffern, NY 10901-4910 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2018 |
| Last Update Date | 19/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1-15-19041 | BACB (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.