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AMY SHANDY SPEECH-LANGUAGE PATHOLOGIST LLC NPI 1821603473


NPI Information

NPI: 1821603473
Provider Name: AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
2233 ACADEMY PL STE 201
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 597-0822
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AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC is a behavior analyst in Colorado Springs, CO. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC NPI is 1821603473. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2233 ACADEMY PL STE 201
COLORADO SPRINGS, CO
ZIP 80909-679
Phone: (719) 597-0822
Fax: (719) 599-4606

The provider's authorized official is Rebecca Newman .
The authorized official title is Billing Manager and has the following contact phone number (719) 597-0822.

The enumeration date for this NPI number is 9/10/2020 and was last updated on 9/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106S00000XBehavior TechnicianNo
2103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112000256MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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