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Contact Information

AMANDA S EVELETH, LMSW, BCBA
375 APPLE TREE DR
IONIA, MI48846
 Phone: 616-527-1790
 Fax: 616-527-0538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for AMANDA S EVELETH · (Female)

NPI Number 1538337209
Status Active
Credentials LMSW, BCBA
Entity Individual
Enumeration date 02/15/2008
Last updated 05/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6801091244
  • MI License # 7401000217
  • MI Medicaid 1715928
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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