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NPI Code Detail

MEDICARE: AMANDA HUISH BCBA

MEDICARE: AMANDA HUISH 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 Analyst1-1-9555

General Provider Information

NPI Number : 1710239553
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA HUISH BCBA
Provider Business Mailing Address
First Line : 5601 W SLAUSON AVE STE 168
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6584
Country : US
Telephone Number : 310-410-4450
Fax Number : 310-410-4455
Provider Business Practice Location Address
First Line : 5601 W SLAUSON AVE STE 168
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6584
Country : US
Telephone Number : 310-410-4450
Fax Number : 310-410-4455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2012
Last Update Date : 03/05/2025

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