Provider Demographics
NPI:1164964110
Name:FINK, AMANDA LEE (BS)
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:LEE
Last Name:FINK
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2570 S DAYTON WAY
Mailing Address - Street 2:D309
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-3944
Mailing Address - Country:US
Mailing Address - Phone:269-686-6237
Mailing Address - Fax:
Practice Address - Street 1:2570 S. DAYTON WAY
Practice Address - Street 2:D309
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231
Practice Address - Country:US
Practice Address - Phone:269-686-6237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician