Healthcare Provider Details

I. General information

NPI: 1609467034
Provider Name (Legal Business Name): AMANDA LEIGH CURRY LBA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA HAMILTON

II. Dates (important events)

Enumeration Date: 01/28/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 WILLAMETTE DR NE STE A
LACEY WA
98516-1378
US

IV. Provider business mailing address

7000 RAPTOR AVE NE
LACEY WA
98516-3149
US

V. Phone/Fax

Practice location:
  • Phone: 360-878-6434
  • Fax: 844-452-1758
Mailing address:
  • Phone: 254-458-0862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBA61662876
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2480
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: