| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMANDA LISA SANTISTEVAN | 1952994691 | 2021-02-13 |
Amanda Lisa Santistevan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952994691. Registration indicates Amanda Lisa Santistevan is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Amanda Lisa Santistevan |
| Practice Office Address | 14059 CROWN CT WOODBRIDGE, VA US |
| Practice Office Telephone | 5713686876 |
| Mailing Address | 14059 CROWN CT WOODBRIDGE, VA 221931458 US |
| Business Telephone | 5713686876 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |
VA |
| 103K00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |