IndividualActive
Amanda Polk
NPI 1942740873 · Behavior Analyst · Portland, OR
Provider details
- NPI number
- 1942740873
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-20-44657 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
One World Trade Center, 121 Southwest Salmon Street
11th Floor
Portland, OR 97204-0000
Phone: (855) 832-6727
Approximate (ZIP-level) locationGet directions
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Registry dates
- Enumerated
- 2017-02-24
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.