Amanda N Glenn

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

401 W McMackin St
Salem, IL 62881-1724

Phone

(309) 531-3745

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1952886798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628810745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MCMACKIN ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811724",
            "telephone_number": "309-531-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "AMANDA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Le Erbacher
• Tara Fleeman
• Tamara Dee Foltz, NP
• Allie Garner
• Julie Ardonia Gascon, PT
• Amanda Jean Goostree, RN
• Tiffanie Haarmann, LPC
• Seth Hahs, MD
• Harper Back Pain Clinic
• Curtis Ryan Harper, D.C.

• Behavior Analyst in Salem, IL
• Providers in Salem, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.