MEDICARE: MS. AMBER NONAMAKER CBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	CB61313603	WA

General Provider Information

NPI Number	:	1558179473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMBER NONAMAKER CBT

Provider Business Mailing Address
First Line	:	17404 44TH AVE E APT N202
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98446-5923
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 KITSAP ST
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-5327
Country	:	US
Telephone Number	:	916-599-1075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	12/23/2024

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Directions to “ MS. AMBER NONAMAKER CBT” Practice Location

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