Provider Demographics
NPI:1497150817
Name:WHITE, AMBER (LBS)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8003 WOODCREEK DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-3611
Mailing Address - Country:US
Mailing Address - Phone:412-905-9358
Mailing Address - Fax:
Practice Address - Street 1:8003 WOODCREEK DR
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-3611
Practice Address - Country:US
Practice Address - Phone:412-905-9358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001439103K00000X
TX8962103K00000X
NC3138103K00000X
VA0133004410103K00000X
OH01787103K00000X
NJ15BC00227800103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst