Amanda Elizabeth Clay

Individual provider Active NPI Behavior Technician · Ferndale, WA

NPI 1104533041 · NPPES record last updated Nov 3, 2022

Key facts

NPI
1104533041
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6130 Aquarius Ave
Ferndale, WA 98248-9243
Phone
(360) 684-4566
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Behavior ABA, LLC. Current
since Nov 6, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6130 Aquarius Ave
Ferndale, WA 98248-9243

Mailing address

6130 Aquarius Ave
Ferndale, WA 98248-9243

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://balancedbehavioraba.com/ Direct Balanced Behavior ABA, LLC.

Other providers in Ferndale, WA

All providers in Ferndale, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.