Individual provider · NPI-1
Rose Amanin, BCDMT1215
Dance Therapist · Oakland, CA
NPI number1649159559
StatusActive
Last updated in NPPESAug 27, 2025
Details
- NPI
- 1649159559
- Entity type
- Individual (NPI-1)
- Name
- Rose Amanin
- Credential
- BCDMT1215
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2025
- Certification date
- Aug 26, 2025
- Last updated
- Aug 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225600000X | Dance Therapist | BCMT1215 | NJ | Yes |
Practice location
219 9th Ave Unit 131Oakland, CA 94606-5181
Phone 757-570-4228
Mailing address
219 9th Ave Unit 131Oakland, CA 94606-5181
Phone 757-570-4228
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