Amy Bonadurer, BCBA
Individual provider Active NPI Behavior Analyst · Seal Beach, CA
NPI 1902552227 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1902552227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-21-56343 (CA)
- Practice address
- 200 Marina Dr
Seal Beach, CA 90740-6023 - Phone
- (562) 431-9293
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-56343 | CA | Yes |
Addresses
Primary practice location
200 Marina Dr
Seal Beach, CA 90740-6023
Mailing address
200 Marina Dr
Seal Beach, CA 90740-6023
Other providers in Seal Beach, CA
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- Hannah Elizabeth Blackmore
- Claudine Uwimpaye Blaise
- Amanda Bliss
- Gholamreza Borazjani
- Pamela Boysen
- Loralei Bradford
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- Sean Martin Braithwaite
All providers in Seal Beach, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.