Amy Shandy, Speech-Language Pathologist, LLC
Organization Active NPI Behavior Analyst · Monument, CO
NPI 1366057697 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1366057697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
- Practice address
- 17230 Jackson Creek Pkwy Ste 220
Monument, CO 80132-7304 - Phone
- (719) 597-0822
- Fax
- (719) 599-4606
- NPI assigned
- Sep 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Rebecca Newman
- Title
- Billing Manager
- Phone
- (719) 597-0822
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Amy Shandy Speech Language Pathology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes | ||
| Behavior Technician |
106S00000X |
Addresses
Primary practice location
17230 Jackson Creek Pkwy Ste 220
Monument, CO 80132-7304
Mailing address
685 Citadel Dr E Ste 580
Colorado Springs, CO 80909-5381
Phone (719) 597-0822
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12000256 | Medicaid | CO |
Other names
- THE SHANDY CLINIC
Other providers in Monument, CO
- Seth Allen
- Kurt Daniel Alsum
- Luis Angel Ambriz
- America'S Best Contacts & Eyeglasses
- Nannette Florin Amodeo
- Amy Shandy, Speech-Language Pathologist, LLC
- Amy Shandy, Speech-Language Pathologist, LLC
- Nancy Mae Anderson
- Scott Anderson
- Anesthesia Care Plus
All providers in Monument, CO · Behavior Analyst in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. 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.