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NPI Code Detail

MEDICARE: AMANDA LEE SIDERS RBT

MEDICARE:   AMANDA LEE SIDERS  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-459333OH

General Provider Information

NPI Number : 1033062187
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LEE SIDERS RBT
Provider Business Mailing Address
First Line : 928 LAKE RUN CIR
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-5419
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 928 LAKE RUN CIR
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-5419
Country : US
Telephone Number : 740-222-5754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ AMANDA LEE SIDERS RBT” Practice Location

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