Bonnell, Amanda Rudd

Bonnell, Amanda Rudd is an individual health care provider with primary practice located at 823 Dunlawton Ave Ste A , Port Orange FL 32127-4221. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Bonnell, Amanda Rudd can be contacted via phone (877) 823-4283.

Contact Information

Primary practice address
823 Dunlawton Ave Ste A Port Orange FL 32127-4221
Phone: (877) 823-4283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-24732 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1154728194
LBN Legal business name Bonnell, Amanda Rudd
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2014
Last updated Aug 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers