Provider Demographics
NPI:1073307245
Name:AUNGST, AMBER LEE
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEE
Last Name:AUNGST
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-9312
Mailing Address - Country:US
Mailing Address - Phone:717-341-6909
Mailing Address - Fax:
Practice Address - Street 1:PARAGON BEHAVIORAL HEALTH
Practice Address - Street 2:
Practice Address - City:1846 CHARTER LANE SUITE 210
Practice Address - State:PA
Practice Address - Zip Code:17601-1760
Practice Address - Country:US
Practice Address - Phone:717-466-6505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH007668103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst