MRS. AMANDA BACK (NPI# 1023509445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023509445 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BACK |
| Other Name | MISS AMANDA OBERLY |
| Credential | RBT |
| Practice Address |
1750 Commerce Center Blvd Fairborn OH 45324-6333 |
| Mailing Address |
326 Grove St Fairborn OH 45324-3004 |
| Practice Telephone | 9378788444 |
| Mailing Telephone | 9374504566 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340941 | Amanda Back | Genetic Counselor, MS | 1100 Walnut St Ste 602, Philadelphia, PA 19107-5563 | 2020-09-10 |
| 1235340035 | Amanda Back | Speech-Language Pathologist | 105 Daniel Dr, Danville, KY 40422-2527 | 2007-05-24 |
| Street Address |
1750 COMMERCE CENTER BLVD |
| City | FAIRBORN |
| State | OH |
| Zip Code | 45324-6333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851842488 | Trumpet Behavioral Health | Behavioral Analyst | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2016-10-19 |
| 1043811615 | Linda Best | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-11-02 |
| 1427659085 | Ryan Borger | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-11-02 |
| 1689273328 | Narvella Chambers | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-23 |
| 1245839984 | Kiera Tigner | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-23 |
| 1699374330 | Casandra Tackett | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-23 |
| 1568060168 | Symphony Souders | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-15 |
| 1912505512 | Marla Lester | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-15 |
| 1366040966 | Chinenyenwa Amagwu | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-15 |
| 1538767132 | Jason Craig | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| 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 |
|---|---|---|---|---|
| 1831796424 | Gabrielle Bianco | Behavior Technician | 552 Wildlife Ct, Fairborn, OH 45324-4476 | 2020-10-06 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1043811615 | Linda Best | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-11-02 |
| 1427659085 | Ryan Borger | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-11-02 |
| 1689273328 | Narvella Chambers | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-23 |
| 1245839984 | Kiera Tigner | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-23 |
| 1699374330 | Casandra Tackett | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-23 |
| 1568060168 | Symphony Souders | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-15 |
| 1912505512 | Marla Lester | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-15 |
| 1366040966 | Chinenyenwa Amagwu | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2020-10-15 |
| Find all providers in FAIRBORN | ||||
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| 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.