Amanda Parks

Developmental Therapist · Jasper, FL

Individual Active NPI

NPI number 1417326141

Practice location

514 3rd Ave SE
Jasper, FL 32052-6188
Phone
(386) 855-4628

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NPI record

NPI
1417326141
Entity type
Individual (Type 1)
Enumeration date
September 23, 2015
Last updated
September 23, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — FL

About Amanda Parks

Amanda Parks is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 514 3rd Ave SE, Jasper, FL 32052-6188. The NPI number 1417326141 was assigned on September 23, 2015 and the record was last updated on September 23, 2015.

Frequently asked questions

What is the NPI number of Amanda Parks?

The NPI number is 1417326141.

What is the phone number of Amanda Parks?

The phone number listed for the practice location is (386) 855-4628.

Where is Amanda Parks located?

514 3rd Ave SE, Jasper, FL 32052-6188.

What is the taxonomy code for Amanda Parks?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.