AMANDA MAE SICKENGER (NPI# 1245695147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245695147 |
| Entity Type | Individual |
| Full Name | AMANDA MAE SICKENGER |
| Practice Address |
1001 W Broadway Suite D Farmington NM 87401-5638 |
| Mailing Address |
1700 Cliffside Dr Apt 207 Farmington NM 87401-4341 |
| Practice Telephone | 5053268695 |
| Mailing Telephone | 5053866211 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 44933 | 05 |
| Street Address |
1001 W BROADWAY SUITE D |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309833 | Thomas F Marren | Family Medicine | 1001 W Broadway, Pms -farmington Community Health Center, Farmington, NM 87401-5638 | 2005-07-13 |
| 1174124788 | Gwendolyn Marie Palmer | Social Worker | 1001 W Broadway, Farmington, NM 87401-5638 | 2020-11-02 |
| 1548871072 | Liandra Etcitty | Social Worker | 1001 W Broadway, Farmington, NM 87401-5638 | 2020-08-10 |
| 1891326138 | David Opoku Asante | Nurse Practitioner | 1001 W Broadway, Farmington, NM 87401-5638 | 2020-01-27 |
| 1841839529 | Miracle Ann Williams | Counselor | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-12-30 |
| 1497392146 | Erika Begay | Case Manager/Care Coordinator | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-12-02 |
| 1700422763 | Jeannie Wright | Case Manager/Care Coordinator | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-11-25 |
| 1417599101 | John Oberly | Counselor | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-10-14 |
| 1487205134 | Mark Lynn Marquez | Behavioral Analyst | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-09-24 |
| 1619529187 | Susan Hack | Social Worker | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869068 | Marian Kinsel | Behavior Technician | 5107 Loma Alto Dr, Farmington, NM 87402-8344 | 2020-10-26 |
| 1093314254 | Elise Vallejos | Behavior Technician | 6905 Alyssa Ct, Farmington, NM 87402-5088 | 2020-10-20 |
| 1063010726 | Daniela Villagran | Behavior Technician | 303 N Lorena Ave, Farmington, NM 87401-5858 | 2020-10-15 |
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1922612787 | Julie Schrum | Behavior Technician | 751 Timberline Dr, Farmington, MO 63640-7800 | 2020-08-31 |
| 1720691769 | Neldine Tsiniginie | Behavior Technician | 16 Road 5803, Farmington, NM 87401-9558 | 2020-08-28 |
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1861000960 | Cailin Green | Behavior Technician | 5614 Fairway Dr, Farmington, NM 87402-5027 | 2020-07-15 |
| 1174143432 | Stephanie Moore | Behavior Technician | 3205 N Dustin Ave, Farmington, NM 87401-9229 | 2020-04-16 |
| 1700405644 | Laura Michelle Johnson | Behavior Technician | 1 San Jewell Dr, Farmington, MO 63640-3308 | 2020-04-10 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on AMANDA MAE SICKENGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.