Amanda Groody
Behavior Technician in Quilcene, WA. Individual provider (NPI-1).
NPI number1164078325
StatusActive
Last updated in NPPESAug 14, 2019
Details
- NPI
- 1164078325
- Entity type
- Individual (NPI-1)
- Name
- Amanda Groody
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 14, 2019
- Last updated
- Aug 14, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
512 Cougar RunQuilcene, WA 98376
Phone 360-301-3185
Mailing address
Po Box 275Quilcene, WA 98376-0275
Phone 360-301-3185
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.