Individual ProviderAmanda Janelle BermudezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613(425) 426-2761(818) 345-2345PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Janelle Bermudez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1336623537Provider TypeIndividualFull NameBermudez, Amanda JanelleGenderFemaleSole ProprietorNoEnumeration Date9/24/2018Last Updated9/24/2018Contact InformationPractice LocationPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613Phone(425) 426-2761FaxUnlisted FaxMailing LocationMailing Address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807Phone(818) 345-2345FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseBERMUAJ037P5Washington