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NPI Code Detail

MEDICARE: AMANDA WARD

MEDICARE: AMANDA WARD
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
1103K00000XBehavior Analyst1-18-34227CO
2103K00000XBehavior Analyst
3106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1902312622
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA WARD
Provider Business Mailing Address
First Line : 1050 S ACADEMY BLVD STE 140
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3922
Country : US
Telephone Number : 888-754-0398
Fax Number :
Provider Business Practice Location Address
First Line : 1050 S ACADEMY BLVD STE 140
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3922
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2017
Last Update Date : 09/08/2023

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Directions to “ AMANDA WARD ” Practice Location

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