Amanda Jo Broughton, BCBA, LBA-OR is a
Behavior Analyst based in Eugene, Oregon. Amanda Jo Broughton is licensed to practice in * (Not Available) (license number ) and her current practice location is
339 W Broadway Apt 3, Eugene, Oregon. She can be reached at her office (for appointments etc.) via phone at
(949) 326-8894.
NPI number for Amanda Jo Broughton is 1487037693 and her current mailing address is 339 W Broadway Apt 3, Eugene, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487037693.
Healthcare Provider's Profile
| Full Name | Amanda Jo Broughton |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 339 W Broadway Apt 3, Eugene, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487037693
- Provider Enumeration Date: 07/07/2015
- Last Update Date: 01/06/2017
Medical Identifiers
Medical identifiers for Amanda Jo Broughton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487037693 | NPI | - | NPPES |
| 500693767 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Oregon) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | 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 Jo Broughton 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 Jo Broughton, BCBA, LBA-OR
339 W Broadway Apt 3,
Eugene, OR 97401-2883
Ph: (949) 326-8894 | Amanda Jo Broughton, BCBA, LBA-OR
339 W Broadway Apt 3,
Eugene, OR 97401-2883
Ph: (949) 326-8894 |
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