Individual
AMANDA D BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWAIC, RBT
Contact information
Practice address
915 GOETHALS DR, RICHLAND, WA 99352-3527
(509) 547-2204
Mailing address
915 GOETHALS DR, RICHLAND, WA 99352-3527
(509) 405-0555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC70040731
WA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
05/04/2026
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