Amanda Marie Ridgeley, is a
Behavior Technician based in Winston Salem, North Carolina. Amanda Marie Ridgeley is licensed to practice in * (Not Available) (license number ) and her current practice location is
720 Coliseum Dr Ste 92, Winston Salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(743) 255-4568.
NPI number for Amanda Marie Ridgeley is 1619480712 and her current mailing address is 720 Coliseum Dr Ste 92, Winston Salem, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619480712.
Healthcare Provider's Profile
| Full Name | Amanda Marie Ridgeley |
|---|
| Gender | Female |
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| Speciality | Behavior Technician |
|---|
| Location | 720 Coliseum Dr Ste 92, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619480712
- Provider Enumeration Date: 11/10/2017
- Last Update Date: 10/18/2024
Medical Identifiers
Medical identifiers for Amanda Marie Ridgeley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619480712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 6362007710 (Michigan) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Ohio) | Secondary |
| 172V00000X | Community Health Worker | (Ohio) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | 6301017265 (Michigan) | Secondary |
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. Amanda Marie Ridgeley 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 |
|---|
Amanda Marie Ridgeley,
720 Coliseum Dr Ste 92,
Winston Salem, NC 27106-5357
Ph: (743) 255-4568 | Amanda Marie Ridgeley,
720 Coliseum Dr Ste 92,
Winston Salem, NC 27106-5357
Ph: (743) 255-4568 |
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