Active NPI
Amanda Sile
- Behavior Analyst
- Edwardsville, IL
National Provider Identifier
1235626581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 400 Saint Louis St Ste 1
Edwardsville, IL 62025-1979 - Phone
- (844) 854-1116
- NPI assigned
- Apr 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
400 Saint Louis St Ste 1
Edwardsville, IL 62025-1979
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116
Other practice location 1
8001 SW 36th St Ste 9
Davie, FL 33328-1915
Phone (954) 577-7790
Other practice location 2
11511 Craig Ct Apt 327
Saint Louis, MO 63146-6208
Phone (786) 342-5293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103366400 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | asile003@icloud.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acorn Health of Illinois, LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- O Fallon, IL
- NPI 1144867854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1235626581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD STE 230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108",
"telephone_number": "844-854-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAINT LOUIS ST STE 1",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620251979",
"telephone_number": "844-854-1116"
}
],
"practiceLocations": [
{
"address_1": "8001 SW 36th St Ste 9",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333281915",
"country_code": "US",
"telephone_number": "954-577-7790",
"fax_number": "954-577-7780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11511 Craig Ct Apt 327",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631466208",
"country_code": "US",
"telephone_number": "786-342-5293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILE",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-21",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103366400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "asile003@icloud.com",
"affiliation": "N",
"address_1": "11511 Craig Ct Apt 327",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631466208",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edwardsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.