| Amara Llc | |
|
31 Quail Run Edgefield SC 29824-3147 | |
| (719) 505-4816 | |
| Not Available |
| Full Name | Amara Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 31 Quail Run, Edgefield, South Carolina |
| Authorized Official Name and Position | Ronte Johnson (BCBA) |
| Authorized Official Contact | 7195054816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amara Llc 7442 Straggler Cir Colorado Springs CO 80922-2322 Ph: (719) 505-4816 | Amara Llc 31 Quail Run Edgefield SC 29824-3147 Ph: (719) 505-4816 |
| NPI Number | 1396399424 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 07/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396399424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Carolina Youth Combat Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Augusta Rd, Edgefield, SC 29824 Phone: 803-637-5526 |