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NPI Code Detail

MEDICARE: AMANDA MARIE HANEY

MEDICARE: AMANDA MARIE HANEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1023739083
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MARIE HANEY
Provider Business Mailing Address
First Line : 2101 W ENTERPRISE AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-5839
Country : US
Telephone Number : 765-896-7140
Fax Number :
Provider Business Practice Location Address
First Line : 2101 W ENTERPRISE AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-5839
Country : US
Telephone Number : 765-896-7140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2022
Last Update Date : 04/02/2025

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Directions to “ AMANDA MARIE HANEY ” Practice Location

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