Individual provider Active NPI

Amanda Inderhees, BCBA

  • Behavior Analyst
  • West Chester, OH
National Provider Identifier
1578092557
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
303 Issued in OH
Practice address
7413 Squire CT
West Chester, OH 45069-2380
Phone
(513) 847-4685
Fax
(513) 847-4763
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 303 OH Primary

Addresses

Primary practice location

7413 Squire CT
West Chester, OH 45069-2380

Mailing address

7413 Squire CT
West Chester, OH 45069-2380

Other identifiers 1

IdentifierTypeStateIssuer
462876239MedicaidOH

Other names 1

  • Amanda Henne Former name

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

State licenses

LicenseStateTypeSpecialty
303OHMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1578092557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 SQUIRE CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 SQUIRE CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692380",
            "telephone_number": "513-847-4685",
            "fax_number": "513-847-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDERHEES",
        "first_name": "AMANDA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462876239",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HENNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.