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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA ICENOGLE

Active Sole Proprietor

AMANDA ICENOGLE is a Behavior Analyst healthcare provider located in DOTHAN, Alabama. NPI 1174198808 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · DOTHAN, AL

Registration Details

NPI Number
1174198808
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2021 (5.2419203854418 yrs)
Last Updated
May 25, 2021
License
103K00000X
Sole Proprietor
Yes

Practice Information

Address
2543 ROSS CLARK CIR
DOTHAN, AL, 363014925
Browse AL providers · Browse ZIP 36301
Phone
3346994007
Fax
3346994014
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in DOTHAN, AL

Name Credential NPI
MS. JENNIFER BAUMANN BONNEY M.ED., BCBA, LBA 1922315621
SHELBY ELIZABETH DIPILLA BCBA 1821331919
KARA ETHEREDGE MA, BCBA 1972907780
HILLARY PATTERSON AUSTIN BCBA 1164883427
JENNIFER DAWN ROTHMAN BCBA 1285143859
TARA COOK BCBA 1871093013
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.