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

AMANDA SISSOM

Active

AMANDA SISSOM is a Behavior Analyst healthcare provider located in MERIDIAN, Idaho. NPI 1407374887 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · MERIDIAN, ID

Registration Details

NPI Number
1407374887
Provider Type
Individual
Gender
Female
NPI Issued
Sep 6, 2017 (8.8968255686523 yrs)
Last Updated
Jan 22, 2026
Licenses
1-21-57129 (ID)
1-21-57129 (ID)

Practice Information

Address
1905 S TOPAZ WAY STE 100
MERIDIAN, ID, 836424477
Browse ID providers · Browse ZIP 83642
Phone
2084177971
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Developmental Therapist

Other Behavior Analyst Providers in MERIDIAN, ID

Name Credential NPI
MRS. SONJA SCHAFF CORTOPASSI MS, BCBA 1679724454
MS. MICHELLE BOLING MS, BCBA 1811498447
CYRILLA WATSON RBT 1174179279
MEGAN DEBETS 1881240786
ALETT R BURLISON BI, IS 1073143053
ZULEIKAH WALKER 1467063115
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.