Bolgren, Amanda Elizabeth

Bolgren, Amanda Elizabeth is an individual health care provider with primary practice located at 1801 American Blvd E Ste 8 , Bloomington MN 55425-1230. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Bolgren, Amanda Elizabeth can be contacted via phone (952) 767-2267.

Contact Information

Primary practice address
1801 American Blvd E Ste 8 Bloomington MN 55425-1230
Phone: (952) 767-2267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH-272 Hawaii
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Minnesota
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA-23 Hawaii

Profile Details

NPI number 1891933230
LBN Legal business name Bolgren, Amanda Elizabeth
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2009
Last updated Mar 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891933230 NPPES
Other 1-15-19783 BCBA CERTIFICATE

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