Amy L Sippl, B.C.B.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27512 Issued in MN

Practice address

2419 Washington Ave
Montevideo, MN 56265-2619

Phone

(715) 610-6396

NPI assigned

Sep 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy L Duchan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• SWWC Service Cooperatives

  • Local Education Agency (LEA)
  • Marshall, MN
  • NPI 1043316235
  NPD
• SWWC Service Cooperatives

  • Early Intervention Provider Agency
  • Montevideo, MN
  • NPI 1083175442
  NPD
• Lovaas Institute for Early Intervention - Midwest, Inc.

  • Community/Behavioral Health Agency
  • Bloomington, MN
  • NPI 1487732764

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1366951667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652619",
            "telephone_number": "715-610-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652619",
            "telephone_number": "715-610-6396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Saturn St N Ste A",
            "address_purpose": "LOCATION",
            "city": "Cosmos",
            "state": "MN",
            "postal_code": "562289757",
            "country_code": "US",
            "telephone_number": "320-877-7074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 W Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562581392",
            "country_code": "US",
            "telephone_number": "507-337-2970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 N Hiawatha Ave # 250",
            "address_purpose": "LOCATION",
            "city": "Pipestone",
            "state": "MN",
            "postal_code": "561642282",
            "country_code": "US",
            "telephone_number": "507-825-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPPL",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "B.C.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2023-04-13",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-17-27512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DUCHAN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annette Carol Schmit-Cline, M.D.
• Justin Lynn Schomerus, PHARMD
• Kristine Suzanne Schularick, NREMT-P, RN
• Michelle Schuldt, APRN, CNP
• Shoptikal LLC
• St. Cloud Vamc
• Brandi Lee Stallman, ADT
• State of Minnesota - Minnesota Management and Budget
• State of Minnesota - Minnesota Management and Budget
• Ashley Brooke Stengel

• Behavior Analyst in Montevideo, MN
• Providers in Montevideo, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.