Amanda Brugman
Behavior Technician in Gilbert, AZ. Individual provider (NPI-1).
NPI number1801435904
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1801435904
- Entity type
- Individual (NPI-1)
- Name
- Amanda Brugman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2020
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
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
1166 S Gilbert RdSuite 106
Gilbert, AZ 85296-3460
Phone 303-989-8169
Mailing address
1166 S Gilbert RdSuite 106
Gilbert, AZ 85296-3460
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.
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All 801 Behavior Technician providers in Gilbert · All 7,856 providers in Gilbert
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