NPI 1225719586

Amanda Roth

Practitioner Behavior Analyst Lewiston, ID

Practice location

Address: 621 Bryden Ave STE a, Lewiston, ID 83501-5131
Phone: (208) 298-8003
Mailing address: 1710 17th St, Lewiston, ID 83501-4033

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1225719586
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2023
Record last updated: 28 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.