Provider Demographics
NPI:1366328437
Name:ANDERSON, AMARI KRISTINA
Entity type:Individual
Prefix:
First Name:AMARI
Middle Name:KRISTINA
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 PAUL AVE NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-1129
Mailing Address - Country:US
Mailing Address - Phone:678-481-8930
Mailing Address - Fax:
Practice Address - Street 1:2260 PAUL AVE NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-1129
Practice Address - Country:US
Practice Address - Phone:678-481-8930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst