Provider Demographics
NPI:1457904427
Name:HOWARD, AMBER (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:101 N TRYON ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28246-0100
Mailing Address - Country:US
Mailing Address - Phone:980-294-1113
Mailing Address - Fax:
Practice Address - Street 1:101 N TRYON ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28246-0100
Practice Address - Country:US
Practice Address - Phone:980-294-1113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
NC103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician