Amy Ink
Behavior Analyst in Buford, GA. Individual provider (NPI-1).
NPI number1669945457
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1669945457
- Entity type
- Individual (NPI-1)
- Name
- Amy Ink
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2019
- Certification date
- Nov 19, 2024
- Last updated
- Nov 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-22-62034 | – | Yes |
Practice location
5328 Lanier Islands Pkwy Unit 101Buford, GA 30518-9071
Phone 470-655-1970 · Fax 470-655-1048
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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