npidexNPI registry + Medicare data

AMANDA ICENOGLE

Behavior Analyst · DOTHAN, AL

Individual Active NPI 1174198808

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Behavior Analyst103K00000X✓103K00000X—

Medicare eligibility

Part B
No
DME
Yes
Home health
No
Power mobility
No
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.