Amanda M Dorval

Individual provider Active NPI Behavior Technician · Hampton, NH

NPI 1124837463 · NPPES record last updated Jan 2, 2025

Key facts

NPI
1124837463
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-265106 (NH)
Practice address
29 Academy Ave
Hampton, NH 03842-2279
Phone
(603) 502-6134
NPI assigned
Jan 2, 2025
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-23-265106NHMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-265106 NH Yes

Addresses

Primary practice location

29 Academy Ave
Hampton, NH 03842-2279

Mailing address

176 Drakeside Rd Unit 200
Hampton, NH 03842-1833
Phone (603) 502-6134

Other providers in Hampton, NH

All providers in Hampton, NH · Behavior Technician in New Hampshire

Sources for this page

Verify at the official NPI Registry.