Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174198808 Individual Practitioner Female Practitioner

Amanda Icenogle

Behavior Analyst • Dothan, AL

Professional Overview & Biography Verified Profile Summary

Amanda Icenogle is a registered healthcare professional specializing in Behavior Analyst in Dothan, AL. Practice services are available at 2543 ROSS CLARK CIR under active NPI credentials.

Amanda Icenogle does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2543 Ross Clark Cir

Dothan, AL 363014925

Telephone 3346994007
Fax 3346994014
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Dothan, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Dothan, AL (612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
133086 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Carmen Perry , RBT

Behavior Analyst

NPI 1164215844

Registered Behavior Technician

Diana Tindoll

Behavior Technician

NPI 1215603584
Estrella Cuc , RBT

Behavior Technician

NPI 1215893045

Registered Behavior Technician

Caitlin Johnson , RBT

Behavior Analyst

NPI 1255124939

Registered Behavior Technician

Melody Thielmann , RBT

Behavior Analyst

NPI 1255907655

Registered Behavior Technician

Tonyaneka Grissett-Gaskins

Behavior Technician

NPI 1326865502

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2021

Registered at 2543 ROSS CLARK CIR, DOTHAN, AL 363014925 (Tel: 3346994007)

📍
Updated Business Mailing Address May 25, 2021

Registered at 60 COUNTY ROAD 755, ENTERPRISE, AL 363301553 (Tel: 3344640063)

👤
Provider Name / Credentials Updated May 25, 2021

Recorded as AMANDA ICENOGLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2021

Behavior Analyst (License #103K00000X in None)

🟢
Initial NPI Registration & Enumeration May 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174198808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2021
Last Update: May 25, 2021
Sole Proprietor: Yes

Mailing Address

60 County Road 755

Enterprise, AL 363301553

Phone: 3344640063

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.