Healthcare Provider Details

I. General information

NPI: 1770194110
Provider Name (Legal Business Name): AMANDA MOSSMAN STEINER PHD, BCBA-D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 50TH ST
SACRAMENTO CA
95817-2310
US

IV. Provider business mailing address

2825 50TH ST
SACRAMENTO CA
95817-2310
US

V. Phone/Fax

Practice location:
  • Phone: 916-703-0232
  • Fax:
Mailing address:
  • Phone: 916-703-0232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number28118
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-09-5518
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: