Amanda Cannon
Behavior Technician in Wakefield, Massachusetts
1225927981- Practice location
- 107 Audubon RD Ste 1, Wakefield, MA 01880-1266
- Phone
- 617-284-4985
- Fax
- —
- Last updated
- June 30, 2025
Amanda Cannon is a Behavior Technician based in Wakefield, MA. Amanda Cannon practices in Wakefield, MA. The NPI Number for Amanda Cannon is 1225927981. The current practice location address for Amanda Cannon is 107 Audubon RD Ste 1, Wakefield, MA 01880-1266 and can be reached out via phone at 617-284-4985.
Provider Profile Details
- NPI Number
- 1225927981
- Provider Name
- Amanda Cannon
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 107 Audubon RD Ste 1, Wakefield, MA 01880-1266
- Phone Number
- 617-284-4985
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- Yes
- Other Names
- Amanda Souther (Former Name)
- Provider Enumeration Date
- June 30, 2025
- Last Update Date
- June 30, 2025
- Certification Date
- June 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 107 Audubon RD Ste 1
Wakefield, MA 01880-1266 - City
- Wakefield
- State
- Massachusetts
- Zip
- 01880-1266
- Phone Number
- 617-284-4985
Provider Business Mailing Address Details
- Address
- 107 Audubon RD Ste 1
Wakefield, MA 01880-1266 - City
- Wakefield
- State
- MA
- Zip
- 01880-1266
- Phone Number
- 617-284-4985
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amanda Cannon?
The NPI number of Amanda Cannon is 1225927981. It was assigned on June 30, 2025 and is currently active in the NPPES registry.
What is the specialty of Amanda Cannon?
Amanda Cannon is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Amanda Cannon practice?
The practice location is 107 Audubon RD Ste 1, Wakefield, MA 01880-1266. The office can be reached at 617-284-4985 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225927981 directly on the NPPES registry website.