Individual
AMIKA NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 JONQUIL LN, HAMPTON, VA 23669-2158
(857) 329-3818
Mailing address
293 INDEPENDENCE BLVD STE 400, VIRGINIA BEACH, VA 23462-5461
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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