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Contact Information

KELLY AMANIERA, ATR-BC, NCC, LAC
49 E MIDLAND AVE
PARAMUS, NJ07652-2920
 Phone: 551-223-0571
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for KELLY AMANIERA · (Female)

NPI Number 1376189480
Status Active
Credentials ATR-BC, NCC, LAC
Entity Individual
Enumeration date 11/24/2019
Last updated 02/03/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 17-254
  • NJ License # 37PC00721900
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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