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AMANDA KERI DORMAN MA BCBA NPI 1558725267


NPI Information

NPI: 1558725267
Provider Name: AMANDA KERI DORMAN, MA, BCBA
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
17390 DUGDALE DR
SOUTH BEND, IN
ZIP 46635
Phone: (574) 400-2169
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Amanda Keri Dorman, MA, BCBA is a behavior analyst in South Bend, IN. 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. Amanda Keri Dorman, MA, BCBA NPI is 1558725267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17390 DUGDALE DR
SOUTH BEND, IN
ZIP 46635-512
Phone: (574) 400-2169
Fax: (765) 454-9759

The enumeration date for this NPI number is 4/8/2016 and was last updated on 4/23/2018.


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
1103K00000XBehavior AnalystYes
2106E00000XAssistant Behavior AnalystNo

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
11-18-30099OTHERBCBA CERTIFICATE
20-16-7064OTHERBCABA CERTIFICATE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.