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NPI Code Detail

MEDICARE: AMANDA KAY TRICKEL BCBA

MEDICARE: AMANDA KAY TRICKEL BCBA
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
1103K00000XBehavior Analyst1-24-76136

General Provider Information

NPI Number : 1427670306
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA KAY TRICKEL BCBA
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-856-9711
Fax Number : 305-846-9711
Provider Business Practice Location Address
First Line : 1716 CORPORATE XING
Second Line :
City : O FALLON
State : IL
Zip : 62269-3734
Country : US
Telephone Number : 618-206-8816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2020
Last Update Date : 04/03/2025

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