Most Relevant Information
Provider Data
| NPI Number: | 1003320789 |
| Provider Name: | AMIE ELMORE LBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 0133000809 |
Most Important Dates
| Enumeration Date: | 11/17/2017 |
| Last Updated: | 11/17/2017 |
Provider Practice Location
1006 E MARKET ST STE C
CHARLOTTESVILLE
VA
229025374
Practice Location Phone/Fax
| Phone: | 8048368541 |
| Fax: |
Provider Mailing Location
1006 E MARKET ST
CHARLOTTESVILLE
VA
229025374
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |