Amanda Duckett, RBT

Individual provider Active NPI Behavior Technician · Sioux Falls, SD

NPI 1043064579 · NPPES record last updated Apr 12, 2024

Key facts

NPI
1043064579
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-340161 (SD)
Practice address
1105 W Russell St
Sioux Falls, SD 57104-1322
Phone
(605) 271-2690
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-24-340161SDMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-340161 SD Yes

Addresses

Primary practice location

1105 W Russell St
Sioux Falls, SD 57104-1322

Mailing address

1105 W Russell St
Sioux Falls, SD 57104-1322

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Behavior Technician in South Dakota

Sources for this page

Verify at the official NPI Registry.