Amanda Rudd Bonnell, is a
Behavior Analyst based in Port Orange, Florida. Amanda Rudd Bonnell is licensed to practice in Florida (license number 1-16-24732) and her current practice location is
823 Dunlawton Ave Ste A, Port Orange, Florida. She can be reached at her office (for appointments etc.) via phone at
(877) 823-4283.
NPI number for Amanda Rudd Bonnell is 1154728194 and her current mailing address is 1308 Peachtree Rd, Daytona Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154728194.
Healthcare Provider's Profile
Full Name | Amanda Rudd Bonnell |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 823 Dunlawton Ave Ste A, Port Orange, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154728194
- Provider Enumeration Date: 11/19/2014
- Last Update Date: 08/09/2022
Medical Identifiers
Medical identifiers for Amanda Rudd Bonnell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154728194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 1-16-24732 (Florida) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Rudd Bonnell 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 Rudd Bonnell, 1308 Peachtree Rd, Daytona Beach, FL 32114-5956 Ph: () - | Amanda Rudd Bonnell, 823 Dunlawton Ave Ste A, Port Orange, FL 32127-4221 Ph: (877) 823-4283 |
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