IndividualActive
Amanda Plaza
NPI 1467070573 · Community/Behavioral Health Agency · Roxbury, MA
Provider details
- NPI number
- 1467070573
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
520 Dudley St
Roxbury, MA 02119-2769
Phone: (617) 989-9499
Approximate (ZIP-level) locationGet directions
Mailing address
520 Dudley St
Roxbury, MA 02119-2769
Registry dates
- Enumerated
- 2020-07-06
- Last updated
- 2020-07-06
- Certified
- 2020-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.