Ms Kristen Nicole Amantine, BA is a
Behavior Analyst based in Lancaster, California. Ms Kristen Nicole Amantine is licensed to practice in California (license number ) and her current practice location is
1212 W Avenue J Ste 200, Lancaster, California. She can be reached at her office (for appointments etc.) via phone at
(661) 220-5508.
NPI number for Ms Kristen Nicole Amantine is 1912204371 and her current mailing address is 1212 W Avenue J Ste 200, Lancaster, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912204371.
Healthcare Provider's Profile
| Full Name | Ms Kristen Nicole Amantine |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 1212 W Avenue J Ste 200, Lancaster, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912204371
- Provider Enumeration Date: 02/22/2011
- Last Update Date: 01/08/2019
Medical Identifiers
Medical identifiers for Ms Kristen Nicole Amantine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912204371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kristen Nicole Amantine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kristen Nicole Amantine, BA
1212 W Avenue J Ste 200,
Lancaster, CA 93534-2940
Ph: (661) 220-5508 | Ms Kristen Nicole Amantine, BA
1212 W Avenue J Ste 200,
Lancaster, CA 93534
Ph: (661) 220-5508 |
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