Individual
AMANDA BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 HOTEL CIR N STE 101, SAN DIEGO, CA 92108-2801
(619) 961-2120
Mailing address
1660 HOTEL CIR N STE 101, SAN DIEGO, CA 92108-2801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/08/2018
Last updated
03/28/2025
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