Amanda Walden, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

283105 Issued in KY

Practice address

838 E Mountain Pkwy
Salyersville, KY 41465-8378

Phone

(606) 349-7475

Fax

(606) 349-7476

NPI assigned

Jul 8, 2021

Last updated

Jan 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frontier Behavioral Health Center PLLC

  • Multi-Specialty Clinic/Center
  • Salyersville, KY
  • NPI 1295287118
  NPD (past)
• Frontier Foundation Inc.

  • Behavior Analyst
  • Prestonsburg, KY
  • NPI 1669259909
  NPD (past)
• The Kid Spot Center

  • Speech-Language Pathologist
  • Elizabethtown, KY
  • NPI 1710307152
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1528639762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530280",
            "telephone_number": "606-349-7475",
            "fax_number": "606-349-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E MOUNTAIN PKWY",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414658378",
            "telephone_number": "606-349-7475",
            "fax_number": "606-349-7476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Broadway St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401465",
            "country_code": "US",
            "telephone_number": "606-372-1400",
            "fax_number": "606-372-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "AMANDA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "283105",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-20-140125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "marsha.herron@thekidspotcenter.com",
            "affiliation": "N",
            "address_1": "308 Horton St",
            "city": "Grayson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411431599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Sperger, MS., RD., LD.
• David Franklin Strahley, PH.D
• Jessica Renee Tackett, NP-C
• Maria Tackett, APRN
• Tranquility Care LLC
• Walgreen Co (Walgreens #19545)
• Alicia Montgomery Ward, PHARMD
• Michele Watkins, LPCC
• Linzi Brooke Watson
• Maida Denise Webb, SLP

• Behavior Analyst in Salyersville, KY
• Providers in Salyersville, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.