Amanda Burkhart, BCBA
Individual provider Active NPI Behavior Analyst · Wheeling, WV
NPI 1326501255 · NPPES record last updated Apr 8, 2019
Key facts
- NPI
- 1326501255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 11935010 (OH)
- Practice address
- 1007 Market St
Wheeling, WV 26003-2911 - Phone
- (304) 242-6722
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11935010 | OH | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assent Therapy ABA | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 11935010 | OH | Yes |
Addresses
Primary practice location
1007 Market St
Wheeling, WV 26003-2911
Mailing address
1007 Market St
Wheeling, WV 26003-2911
Phone (304) 242-6722
Other providers in Wheeling, WV
- Kathleen M Burch
- Tammy Burch
- Brenda Burdett
- Julie Burgy
- Brianne Lyn Burkhardt
- Kyle Burkhart
- Carl David Burkland
- Amy Burkle
- Colton Burnheimer
- Daniel Thomas Burns Jr.
All providers in Wheeling, WV · Behavior Analyst in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2019. 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.