Provider Demographics
NPI:1043870884
Name:AMR INNOVATIVE SOLUTIONS LLC
Entity Type:Organization
Organization Name:AMR INNOVATIVE SOLUTIONS LLC
Other - Org Name:AUTISM MATERIALS & RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MA SPED BCBA
Authorized Official - Phone:813-808-1112
Mailing Address - Street 1:1936 BRUCE B DOWNS BLVD STE 479
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-9262
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1936 BRUCE B DOWNS BLVD STE 479
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9262
Practice Address - Country:US
Practice Address - Phone:813-808-1112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-14
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023408400Medicaid