Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407374887 Individual Practitioner Female Practitioner

Amanda Sissom

Behavior Analyst • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Amanda Sissom is a registered healthcare professional specializing in Behavior Analyst in Meridian, ID. Practice services are available at 1905 S TOPAZ WAY STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1905 S Topaz Way Ste 100

Meridian, ID 836424477

Telephone 2084177971

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Meridian, ID

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

Practicing in Meridian, ID (207 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: 2026-01-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License ID 1-21-57129

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

State License ID 1-21-57129

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Eva Hufford

Behavior Technician

NPI 1164247094
Lorraine Hernandez

Behavior Technician

NPI 1225866965
Elise Bramhall

Behavior Technician

NPI 1356206395
Allessandra Stephenson

Behavior Technician

NPI 1447926886
Connor Smith

Behavior Technician

NPI 1639988942
Isabella O'neill

Behavior Technician

NPI 1649047127

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 03, 2025

Registered at 1905 S TOPAZ WAY STE 100, MERIDIAN, ID 836424477 (Tel: 2084177971)

📍
Updated Business Mailing Address October 03, 2025

Registered at 1905 S TOPAZ WAY STE 100, MERIDIAN, ID 836424477 (Tel: 2084177971)

👤
Provider Name / Credentials Updated October 03, 2025

Recorded as AMANDA SISSOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2025

Behavior Analyst (License #1-21-57129 in ID)

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2017

Registered at 5762 BOLSA AVE STE 101, HUNTINGTON BEACH, CA 926491172 (Tel: (714) 292-2322)

📍
Updated Business Mailing Address September 06, 2017

Registered at 5762 BOLSA AVE STE 101, HUNTINGTON BEACH, CA 926491172 (Tel: 7142922322)

👤
Provider Name / Credentials Updated September 06, 2017

Recorded as AMANDA HANSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Behavior Technician

🟢
Initial NPI Registration & Enumeration September 06, 2017

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: 1407374887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2017
Last Update: January 22, 2026
Sole Proprietor: No

Mailing Address

1905 S Topaz Way Ste 100

Meridian, ID 836424477

Phone: 2084177971

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.