Amanda Icenogle

Behavior Analyst · Dothan, AL

Individual Active NPI

NPI number 1174198808

Practice location

2543 Ross Clark Cir
Dothan, AL 36301-4925
Phone
(334) 699-4007
Fax
(334) 699-4014

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NPI record

NPI
1174198808
Entity type
Individual (Type 1)
Enumeration date
May 25, 2021
Last updated
May 25, 2021
Certified
May 21, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 103K00000X —

Mailing address

60 County Road 755
Enterprise, AL 36330-1553
Phone
(334) 464-0063

About Amanda Icenogle

Amanda Icenogle is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2543 Ross Clark Cir, Dothan, AL 36301-4925. The NPI number 1174198808 was assigned on May 25, 2021 and the record was last updated on May 25, 2021.

Amanda Icenogle lists a license in the registry: #103K00000X for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Icenogle?

The NPI number is 1174198808.

What is the phone number of Amanda Icenogle?

The phone number listed for the practice location is (334) 699-4007.

Where is Amanda Icenogle located?

2543 Ross Clark Cir, Dothan, AL 36301-4925.

What is the taxonomy code for Amanda Icenogle?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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