Amanda Elizabeth Bolgren, MS, BCBA is a
Behavior Analyst based in Bloomington, Minnesota. Amanda Elizabeth Bolgren is licensed to practice in Hawaii (license number BA-23) and her current practice location is
1801 American Blvd E Ste 8, Bloomington, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 767-2267.
NPI number for Amanda Elizabeth Bolgren is 1891933230 and her current mailing address is 16782 Von Karman Ave Ste 11, Irvine, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891933230.
Healthcare Provider's Profile
Full Name | Amanda Elizabeth Bolgren |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 1801 American Blvd E Ste 8, Bloomington, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891933230
- Provider Enumeration Date: 01/22/2009
- Last Update Date: 03/26/2021
Medical Identifiers
Medical identifiers for Amanda Elizabeth Bolgren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891933230 | NPI | - | NPPES |
1-15-19783 | Other | | BCBA CERTIFICATE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MH-272 (Hawaii) | Secondary |
103K00000X | Behavior Analyst | (Minnesota) | Secondary |
103K00000X | Behavior Analyst | BA-23 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Elizabeth Bolgren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Elizabeth Bolgren, MS, BCBA 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 Ph: (619) 550-6368 | Amanda Elizabeth Bolgren, MS, BCBA 1801 American Blvd E Ste 8, Bloomington, MN 55425-1230 Ph: (952) 767-2267 |
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