Provider Demographics
NPI:1508647272
Name:ALBUREZ, AMANDA YESENIA
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:YESENIA
Last Name:ALBUREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22800 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-6800
Mailing Address - Country:US
Mailing Address - Phone:626-806-6093
Mailing Address - Fax:
Practice Address - Street 1:22800 LYONS AVE
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-6800
Practice Address - Country:US
Practice Address - Phone:626-806-6093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst