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

Amanda Rudolph

Individual provider Behavior Technician · NPI 1114558459

Amanda Rudolph is a Behavior Technician in Capitola, California. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2121 41st Ave
Capitola, CA 95010-2056
Phone: (303) 989-8169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1114558459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2020
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020
Mailing address2121 41st Ave, Capitola, CA 95010-2056

Other providers in Capitola