Healthcare Provider Details

I. General information

NPI: 1912373838
Provider Name (Legal Business Name): AMANDA JOY HARE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA JOY CRUMMER

II. Dates (important events)

Enumeration Date: 08/14/2015
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 MEDICAL CENTER PKWY STE 1580A
MURFREESBORO TN
37129-2261
US

IV. Provider business mailing address

542 AMHERST ST STE B
NASHUA NH
03063-1016
US

V. Phone/Fax

Practice location:
  • Phone: 844-427-4454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-54520
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: