AMANDA LAM


Address: 101 H St Ste L, Petaluma, CA 94952
Phone: 8662062008

AMANDA LAM (NPI# 1861981946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861981946
Entity Type Individual
Full Name AMANDA LAM
Credential MD
Practice Address 101 H St Ste L
Petaluma
CA 94952
Mailing Address 100 Mitchell Ct
Vallejo
CA 94589-2393
Practice Telephone 8662062008
Enumeration Date 2018-05-04
Last Update Date 2019-03-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
101 H St Ste L, Petaluma, CA 94952 8662062008 8663171665

Other Providers AMANDA LAM

NPI Name Taxonomy Address Enumeration
1427578251 Amanda Lam Behavior Technician 721 South Blvd., Suite 210, Oak Park, IL 60302 2017-06-22
1144881996 Amanda Lam Dentist 8702 Bellaire Blvd Ste 100, Houston, TX 77036-4633 2019-06-24
1457820441 Amanda Lam Behavior Technician 17595 Almahurst St Ste 100a, City of Industry, CA 91748-1792 2018-11-19
1013467836 Amanda Sophie Lam Pharmacist 160 Diamond Dr, Lake Elsinore, CA 92530-4401 2016-10-04
1922416759 Amanda Lam Pharmacist 275 W Macarthur Blvd, Room 10305, Oakland, CA 94611-5641 2014-07-24
1255536942 Amanda See-wei Lam Internal Medicine 200 W Arbor Dr, San Diego, CA 92103-9001 2007-06-20
1740342484 Amanda Chia Hui Lam Physical Therapist 1650 Response Rd, Sacramento, CA 95815-4807 2006-12-15

Office Location

Street Address 101 H ST STE L
City PETALUMA
State CA
Zip Code 94952

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457737074 Katey Marin Student in an Organized Health Care Education/Training Program 101 H St Ste L, Petaluma, CA 94952-5100 2015-08-05
1881249159 Tanoya Law Behavior Technician 101 H St Ste L, Petaluma, CA 94952-5100 2019-08-05
1558914226 Samantha Ambroise Behavior Technician 101 H St Ste L, Petaluma, CA 94952-5100 2019-07-22
1467005132 Gabriella Martinez Behavior Technician 101 H St Ste L, Petaluma, CA 94952-5100 2019-07-22
1811540586 Lorena Garay Behavior Technician 101 H St Ste L, Petaluma, CA 94952-5100 2019-07-22
1548813215 Adil Khan Behavior Technician 101 H St Ste L, Petaluma, CA 94952-5100 2019-07-22
1427601178 Lesly Racquel Salmeron Behavior Technician 101 H St Ste L, Petaluma, CA 94952-5100 2019-07-22
1790337293 Syeda Savaira Zia Behavior Technician 101 H St Ste L, Petaluma, CA 94952-5100 2019-07-15
1316599814 Johnathan Redic Behavior Technician 101 H St Ste L, Petaluma, CA 94952-5100 2019-07-15
1609428192 Lehnen Rc Brown Behavior Technician 101 H St Ste L, Petaluma, CA 94952-5100 2019-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114587680 Benjamin R Idarius Behavior Technician 101 H St. Ste. L, Petaluma, CA 94952 2019-06-17
1518457159 Kyleen Joan Romero Behavioral Analyst 25 Graylawn Ave, Petaluma, CA 94952 2018-05-17
1437647526 John Scruggs Behavior Technician 301 H St. Suit L, Petaluma, CA 94952 2018-04-25
1811404684 Brief and Strategic Counseling Service Counselor 843 Chardonnay Cir., Petaluma, CA 94952 2018-01-03
1730638396 Jennifer Lee Sloan Acupuncturist 517 Hayes Lane, Petaluma, CA 94952 2016-09-23
1982057295 Elene Hwa-yihg Chung Acupuncturist 130 Graylawn Ave.,#f, Petaluma, CA 94952 2016-07-21
1457773624 Lisa Hirsch Cordeiro Marriage & Family Therapist 700 Sixth Street, Petaluma, CA 94952 2014-01-07
1811271075 Jacques Philippe Archer Massage Therapist 131b Kentucky St., Petaluma, CA 94952 2011-10-06
1477841609 Karna Licia Dawson Social Worker 205 Keller St., Petaluma, CA 94952 2011-07-21
1497051783 Melissa Beth Wilson Acupuncturist 155a Kentucky Street, Petaluma, CA 94952 2011-02-03
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669080446 Meredith Elise Fore Behavior Technician 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 2020-07-17
1386285443 Serina Michelle Granville Behavior Technician 101 H St Ste A, Petaluma, CA 94952-5100 2019-09-30
1730735705 Crystle Nancovski Behavior Technician 320 Upham St, Petaluma, CA 94952-2645 2019-08-14
1073169223 Monica Renee Najera Behavior Technician 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 2019-08-14
1114587680 Benjamin R Idarius Behavior Technician 101 H St. Ste. L, Petaluma, CA 94952 2019-06-17
1932679511 Karen Christianson Behavior Technician 1670 Corporate Circle Suite 100, Petaluma, CA 94954 2018-11-27
1497240055 Jhaunee Sahara Kelley Behavior Technician 101 H St St L, Petaluma, CA 94952-5100 2018-06-26
1437647526 John Scruggs Behavior Technician 301 H St. Suit L, Petaluma, CA 94952 2018-04-25
1821609736 Emma Li Elliott Behavior Technician 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 2020-08-13
1457960361 Sychack Forbes Behavior Technician 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 2020-07-27
Find all providers in PETALUMA

Competitor

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City PETALUMA
Zip Code 94952

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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