Individual
AMY MICHELLE JAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1317 JAMESTOWN RD, SUITE 102-B, WILLIAMSBURG, VA 23185-3364
(310) 940-8853
Mailing address
1490 QUARTERPATH RD, SUITE 5A-310, WILLIAMSBURG, VA 23185-6544
(310) 940-8853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000146
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
542057784
TAX ID- FAMILY PRIORITY, LLC
VA
Enumeration date
08/14/2009
Last updated
02/18/2013
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