Healthcare Provider Details

I. General information

NPI: 1992246441
Provider Name (Legal Business Name): AMANDA DAY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5641 TRACY DR
YOUNGSTOWN OH
44512-3830
US

IV. Provider business mailing address

5641 TRACY DR
YOUNGSTOWN OH
44512-3830
US

V. Phone/Fax

Practice location:
  • Phone: 234-228-3499
  • Fax:
Mailing address:
  • Phone: 234-228-3499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-73277
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCOBA.00809
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: