Provider Demographics
NPI:1316136807
Name:GOLDEN, AMY M (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:M
Last Name:GOLDEN
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:PO BOX 1273
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-7273
Mailing Address - Country:US
Mailing Address - Phone:609-220-1299
Mailing Address - Fax:
Practice Address - Street 1:213 SANDRINGHAM RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1547
Practice Address - Country:US
Practice Address - Phone:609-220-1299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor