Provider Demographics
NPI:1851730881
Name:FARMAR, AMBER NICHOLE
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:NICHOLE
Last Name:FARMAR
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 1:4270 NW POINT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:63051-4305
Mailing Address - Country:US
Mailing Address - Phone:314-435-4315
Mailing Address - Fax:
Practice Address - Street 1:4270 NW POINT DR.
Practice Address - Street 2:
Practice Address - City:HOUSE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:63051
Practice Address - Country:US
Practice Address - Phone:314-435-4319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst