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

Amanda Nichole Sorum, NONE

Individual provider Behavior Technician · NPI 1336894260

Amanda Nichole Sorum, NONE is a Behavior Technician in Ventura, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

4667 Telegraph Rd
Ventura, CA 93003-3899
Phone: (805) 289-6346
Show map & directions

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

Additional practice locations (1)

  • 600 W Broadway Ste 300, Glendale, CA 91204-1025 — (818) 722-1770

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 162296 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1336894260
Entity typeIndividual (Type 1)
GenderFemale
Credentials NONE
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address600 W Broadway Ste 300, Glendale, CA 91204-1025

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