Most Relevant Information
Provider Data
| NPI Number: | 1003205865 |
| Provider Name: | AMANDA JANETTE BORMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/16/2015 |
| Last Updated: | 01/16/2015 |
Provider Practice Location
231 SE BARRINGTON DR STE 203
OAK HARBOR
WA
982773200
Practice Location Phone/Fax
| Phone: | 3602400022 |
| Fax: |
Provider Mailing Location
1250 SW HELLER ST APT H1
OAK HARBOR
WA
982774507
Provider Mailing Phone/Fax
| Phone: | 3609293250 |
| Fax: |