Provider Demographics
NPI:1588041206
Name:TURNER, AMY L (BCBA)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:TURNER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6466 W PLEASANT OAK CT
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85132-7246
Mailing Address - Country:US
Mailing Address - Phone:804-442-4352
Mailing Address - Fax:632-207-7870
Practice Address - Street 1:6466 W PLEASANT OAK CT
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85132-7246
Practice Address - Country:US
Practice Address - Phone:630-885-0793
Practice Address - Fax:623-207-7870
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBEH000882103K00000X
IL1-18-30494103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst