Amanda Adele Dougherty
Behavior Technician
3826 Park Ave Ste 102
Edison
, New Jersey 08820-2565
Amanda Adele Dougherty
Behavior Technician
3826 Park Ave Ste 102
Edison
, New Jersey 08820-2565
(818) 345-2345
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Amanda Adele Dougherty
- 21600 Oxnard St Ste 1800
- Woodland Hills, CA
- Zip : 91367-7807
- Phone : (818) 345-2345
Second Address
- Amanda Adele Dougherty
- 3826 Park Ave Ste 102
- Edison, NJ
- Zip : 08820-2565
- Phone : (848) 247-6235
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003382532 |
|---|---|
| Provider Name | Amanda Adele Dougherty |
| First Address | Woodland Hills, CA 91367-7807 |
| Second Address | Edison, NJ 08820-2565 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2018 |
| Last Update Date | 23/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.