NPI 1487037693 · live from the CMS NPI Registry
Amanda Jo Broughton, BCBA, LBA-OR
Behavior Analyst in Eugene, OR. National Provider Identifier 1487037693, active.
NPI record
| NPI | 1487037693 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 339 W Broadway Apt 3, Eugene, OR 97401 |
| Practice phone | 949-326-8894 |
| Enumerated | July 7, 2015 |
| Last updated | January 6, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — (OR) |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.