Individual
AMANDA BUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
Mailing address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WDL268B5F4SB
DRIVERS LICENSE
WA
Enumeration date
06/09/2020
Last updated
10/21/2021
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