Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558725267 Individual Practitioner Female Practitioner

Amanda Keri Dorman , MA, BCBA

Behavior Analyst • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Amanda Dorman, MA, BCBA is a registered healthcare professional specializing in Behavior Analyst in South Bend, IN. Practice services are available at 17390 DUGDALE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17390 Dugdale Dr

South Bend, IN 466351512

Telephone 5744002169
Fax 7654549759
Associated Practice Facility / Clinic
🏢 Hopebridge, Llc Facility NPI 1891820668

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
61 Specialists

Practicing in South Bend, IN (2160 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcba Certificate
1-18-30099
Commercial Insurance / Payer ID Bcaba Certificate
0-16-7064

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tayler Williams , RBT

Behavior Technician

NPI 1003412487

Registered Behavior Technician

Lauren Smith , RBT

Behavior Technician

NPI 1003429374

Registered Behavior Technician

Jamesha Mabrey

Behavior Technician

NPI 1003749912
Alicia White , BCBA

Behavior Analyst

NPI 1013373562

Board Certified Behavior Analyst

Tacarra Tswago , RBT

Behavior Technician

NPI 1013673110

Registered Behavior Technician

Rayanna Harris , RBT

Behavior Technician

NPI 1023610466

Registered Behavior Technician

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated April 23, 2018

Recorded as AMANDA DORMAN, MA, BCBA

📍
Updated Practice Location March 02, 2018

Registered at 17390 DUGDALE DR, SOUTH BEND, IN 466351512 (Tel: 5744002169)

📍
Updated Business Mailing Address March 02, 2018

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated March 02, 2018

Recorded as AMANDA DORMAN, MA, BCABA

NPI Profile Active April 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2016

Registered at 2505 E JEFFERSON BLVD, SOUTH BEND, IN 466152635 (Tel: 5742894831)

📍
Updated Business Mailing Address April 08, 2016

Registered at 2505 E JEFFERSON BLVD, SOUTH BEND, IN 466152635 (Tel: 5742894831)

👤
Provider Name / Credentials Updated April 08, 2016

Recorded as AMANDA DORMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2016

Behavior Analyst

🟢
Initial NPI Registration & Enumeration April 08, 2016

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: 1558725267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2016
Last Update: April 23, 2018
Sole Proprietor: No

Mailing Address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 462686135

Phone: 8553240885

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.