IndividualActive
Amanda Wathanaphone
NPI 1174238075 · Behavior Technician · Brooklyn Center, MN
Provider details
- NPI number
- 1174238075
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6701 Parkway Cir Ste 300
Brooklyn Center, MN 55430-2849
Phone: (612) 767-7222
Fax: (612) 767-7222
Approximate (ZIP-level) locationGet directions
Mailing address
6701 Parkway Cir Ste 300
Brooklyn Center, MN 55430-2849
Registry dates
- Enumerated
- 2023-01-16
- Last updated
- 2023-02-06
- Certified
- 2023-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.