AMANDA KAY BOURKE BA
NPI 1780247999
Behavior Technician in Santa Rosa, CA

Active since April 15, 2019
703 2ND ST STE 106, SANTA ROSA, CA 95404(866) 206-2008(866) 317-1665 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Amanda Kay Bourke Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA KAY BOURKE BA (NPI 1780247999) is an individual behavior technician in Santa Rosa, California and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1780247999
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameAMANDA KAY BOURKECredential: BA
Location Address703 2ND ST STE 106Santa Rosa, CA 95404-6505
Mailing Address808 Nonie StSanta Rosa, CA 95403-2018 · (707) 400-7057
Fax(866) 317-1665
Sole ProprietorNo
Enumeration DateApril 15, 2019
NPI 1780247999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.
703 2ND ST STE 106, Santa Rosa, CA 95404

Other Names 1

Former Name (1)Amanda Kay Southam

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bourke's NPI number?

The NPI number for Amanda Bourke is 1780247999. It was assigned to this individual provider in the NPPES registry on April 15, 2019. The provider is also known as Amanda Kay Southam.

Where is Amanda Bourke located?

Amanda Bourke practices at 703 2nd St Ste 106, Santa Rosa, CA 95404. The listed phone number is (866) 206-2008.

What is Amanda Bourke's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Amanda Bourke was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.