Amanda S Higginbothem, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB647031 Issued in GA

Practice address

175 Whitney Rd
Leesburg, GA 31763-3020

Phone

(229) 886-1677

NPI assigned

May 7, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1194309906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 ARMENA RD",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634228",
            "telephone_number": "229-343-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WHITNEY RD",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317633020",
            "telephone_number": "229-886-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHEM",
        "first_name": "AMANDA",
        "middle_name": "S",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "BACB647031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hardy, PA-C
• Edna Harper, RN
• Teresa Ann Harris, RN
• Briana Rasha Harvey
• Shaneidra Hayes, NP-C
• Hailey Scott Hightower
• Lauri Hobbs
• Tonya Melton Holley
• Armanie Holsey, RBT
• Joy Lynn Holway, R.D.N.

• Behavior Technician in Leesburg, GA
• Providers in Leesburg, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.