Amanda Rudolph

Behavior Technician · Capitola, CA

Individual Active NPI

NPI number 1114558459

Practice location

2121 41st Ave
Capitola, CA 95010-2056
Phone
(303) 989-8169

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NPI record

NPI
1114558459
Entity type
Individual (Type 1)
Enumeration date
January 27, 2020
Last updated
January 27, 2020
Certified
January 27, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Amanda Rudolph

Amanda Rudolph is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 2121 41st Ave, Capitola, CA 95010-2056. The NPI number 1114558459 was assigned on January 27, 2020 and the record was last updated on January 27, 2020.

Frequently asked questions

What is the NPI number of Amanda Rudolph?

The NPI number is 1114558459.

What is the phone number of Amanda Rudolph?

The phone number listed for the practice location is (303) 989-8169.

Where is Amanda Rudolph located?

2121 41st Ave, Capitola, CA 95010-2056.

What is the taxonomy code for Amanda Rudolph?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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