Healthcare Provider Details

I. General information

NPI: 1235517467
Provider Name (Legal Business Name): AMY MARSCHNER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2015
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 8TH ST
ALAMOGORDO NM
88310-5115
US

IV. Provider business mailing address

1408 8TH ST
ALAMOGORDO NM
88310-5115
US

V. Phone/Fax

Practice location:
  • Phone: 586-713-9272
  • Fax:
Mailing address:
  • Phone: 586-713-9272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-17876
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: