Active NPIIndividual provider

Amanda M Clark, BCBA

Behavior Analyst in Windsor, Vermont

NPI Number1346746153
Practice location
147 Main St, Windsor, VT 05089-1338
Fax
—
Last updated
April 7, 2021

Amanda M Clark is a Behavior Analyst based in Windsor, VT. Amanda M Clark practices in Windsor, VT and has the professional credentials of BCBA. The NPI Number for Amanda M Clark is 1346746153 and holds a License No. 0-18-8495 (VT). The current practice location address for Amanda M Clark is 147 Main St, Windsor, VT 05089-1338 and can be reached out via phone at 802-674-4428.

Provider Profile Details

NPI Number
1346746153
Provider Name
Amanda M Clark
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
147 Main St, Windsor, VT 05089-1338
Phone Number
802-674-4428
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
April 2, 2018
Last Update Date
April 7, 2021
Certification Date
April 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
147 Main St
Windsor, VT 05089-1338
State
Vermont
Zip
05089-1338
Phone Number
802-674-4428
Windsor, VT 05089Get directions →

Provider Business Mailing Address Details

Address
147 Main St
Windsor, VT 05089-1338
City
Windsor
State
VT
Zip
05089-1338
Phone Number
802-674-4428

License Information

License Number (1)
0-18-8495
License State (1)
VT
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
146.0134209
License State (2)
VT
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Behavior Analysts near Windsor, VT

View all Behavior Analysts in Windsor →

Frequently Asked Questions

What is the NPI number of Amanda M Clark, BCBA?

The NPI number of Amanda M Clark, BCBA is 1346746153. It was assigned on April 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Amanda M Clark, BCBA?

Amanda M Clark, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in VT under license number 0-18-8495.

Where does Amanda M Clark, BCBA practice?

The practice location is 147 Main St, Windsor, VT 05089-1338. The office can be reached at 802-674-4428 (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 1346746153 directly on the NPPES registry website.

Browse related providers