Provider Demographics
NPI:1164013264
Name:EVANS, AMARIS (RBT)
Entity Type:Individual
Prefix:
First Name:AMARIS
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:AMARIS
Other - Middle Name:
Other - Last Name:BORDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 S DOUGLAS RD STE 230
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4108
Mailing Address - Country:US
Mailing Address - Phone:844-854-1116
Mailing Address - Fax:305-846-9711
Practice Address - Street 1:ACORN HEALTH OF ILLINOIS, LLC 6 EAGLE CENTER DR
Practice Address - Street 2:STE: 1
Practice Address - City:OFALLON
Practice Address - State:IL
Practice Address - Zip Code:62269
Practice Address - Country:US
Practice Address - Phone:618-206-8816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician