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General NPI Number Information
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NPI Number | 1407422686
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Entity Type | Individual
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Provider Name | AMANDA MICHELLE OLIVIER BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/28/2021
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 993 MASON HEADLEY RD
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City | LEXINGTON
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State | KY
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Zip | 40504-2246
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Country | US
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Telephone | 859-785-2091
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Fax |
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Provider Business Mailing Address
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Address Line | 201 ANTHONY DR
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-2600
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Country | US
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Telephone | 812-655-0613
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 300910
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License Number State | KY
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