MEDICARE: AMBER NICOLE DONAGHY

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	RBT-23-274742	AK

General Provider Information

NPI Number	:	1720771447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER NICOLE DONAGHY

Provider Business Mailing Address
First Line	:	1851 STEAMBOAT PKWY # 125228
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89521-6336
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 STEAMBOAT PKWY # 125228
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89521-6336
Country	:	US
Telephone Number	:	314-808-8505
Fax Number	:

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

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	01/13/2026

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Directions to “ AMBER NICOLE DONAGHY ” Practice Location

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