NPI 1003382532

Amanda Adele Dougherty

Practitioner Behavior Technician Edison, NJ

Practice location

Address: 3826 Park Ave STE 102, Edison, NJ 08820-2565
Phone: (848) 247-6235
Mailing address: 21600 Oxnard St STE 1800, Woodland Hills, CA 91367-7807

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in New Jersey →

Registry record

NPI: 1003382532
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2018
Record last updated: 23 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.