Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amalie Kawata Fackenthal

Individual provider Behavior Technician · NPI 1134084692

Amalie Kawata Fackenthal is a Behavior Technician in San Mateo, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

424 Peninsula Ave
San Mateo, CA 94401-1653
Phone: (800) 538-8365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1134084692
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

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