Amanda Rudd Bonnell

Behavior Analyst · Port Orange, FL

Individual Active NPI

NPI number 1154728194

Practice location

823 Dunlawton Ave Ste a
Port Orange, FL 32127-4221
Phone
(877) 823-4283

Open in Google Maps

NPI record

NPI
1154728194
Entity type
Individual (Type 1)
Enumeration date
November 19, 2014
Last updated
August 9, 2022
Certified
August 9, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-16-24732 FL
Mental Health Counselor 101YM0800X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1308 Peachtree Rd
Daytona Beach, FL 32114-5956

About Amanda Bonnell

Amanda Rudd Bonnell is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 823 Dunlawton Ave Ste a, Port Orange, FL 32127-4221. The NPI number 1154728194 was assigned on November 19, 2014 and the record was last updated on August 9, 2022.

Amanda Bonnell lists a license in the registry: #1-16-24732 (FL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Rudd Bonnell?

The NPI number is 1154728194.

What is the phone number of Amanda Bonnell?

The phone number listed for the practice location is (877) 823-4283.

Where is Amanda Bonnell located?

823 Dunlawton Ave Ste a, Port Orange, FL 32127-4221.

What is the taxonomy code for Amanda Bonnell?

The primary taxonomy code is 103K00000X – Behavior Analyst; 2 more listed above.

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.

Other Behavior Analyst providers in Port Orange

All Behavior Analyst providers in Port Orange, FL →