AMANDA SISSOM

Behavior Analyst

Active Individual
NPI: 1407374887

Practice Address

1905 S TOPAZ WAY STE 100
Meridian, ID 83642

Phone: (208) 417-7971

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X Yes 1-21-57129 (ID)
Developmental Therapist 222Q00000X No 1-21-57129 (ID)

Frequently Asked Questions

NPI 1407374887 is the National Provider Identifier for AMANDA SISSOM, a Behavior Analyst provider located in Meridian, ID. This NPI was enumerated on September 6, 2017.
AMANDA SISSOM practices at 1905 S TOPAZ WAY STE 100, Meridian, ID 83642.

Quick Facts

NPI
1407374887
Type
Individual
Enumerated
Sep 6, 2017
Last Updated
Jan 22, 2026

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