Amelia Cornutt
Individual provider Active NPI Behavior Technician · Shalimar, FL
NPI 1073472015 · NPPES record last updated Jan 16, 2026
Key facts
- NPI
- 1073472015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 15 10TH Ave
Shalimar, FL 32579-1340 - Phone
- (850) 362-6824
- NPI assigned
- Jan 16, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Expectations Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
15 10TH Ave
Shalimar, FL 32579-1340
Mailing address
933 Denton Blvd NW Unit B
Fort Walton Beach, FL 32547-4627
Other providers in Shalimar, FL
- Michael Ciosek
- Hannah Nicole Colgan
- Erica Connell
- Continuum Integrative Counseling
- Cornerstone Neuropsychology, LLC
- David Rankin Arrowsmith MD PA
- Amy R Davis
- Development Behavior Solutions, LLC
- George B Dorris Jr.
- Dr Bradley H Young D C P a
All providers in Shalimar, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.