Provider Demographics
NPI:1740898436
Name:BOYD, AMBER (MS, BCBA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1758 WESSEL CT
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-3524
Mailing Address - Country:US
Mailing Address - Phone:630-248-3383
Mailing Address - Fax:
Practice Address - Street 1:544 NEWTOWN RD STE 110
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5603
Practice Address - Country:US
Practice Address - Phone:224-206-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-19
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst