Amanda Marie Haney

Individual provider Active NPI Behavior Technician · Saint Louis, MO

NPI 1003665027 · NPPES record last updated May 13, 2024

Key facts

NPI
1003665027
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3555 Sunset Office Dr Ste 101
Saint Louis, MO 63127-1045
Phone
(314) 914-0363
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Learning Collaborative LLC Current
since May 19, 2024
Accepting new patients

Locations

3555 Sunset Office Dr
Ste 101
Saint Louis, MO 63127
Phone (314) 240-2031

8300 Jefferson St NE
Ste B
Albuquerque, NM 87113
Phone (505) 225-5323

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3555 Sunset Office Dr Ste 101
Saint Louis, MO 63127-1045

Mailing address

8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.