Provider Demographics
NPI:1306562426
Name:CASH, AMANDA KIMBERLY (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:KIMBERLY
Last Name:CASH
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3988 ALLEGHANY DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-1990
Mailing Address - Country:US
Mailing Address - Phone:717-824-9817
Mailing Address - Fax:
Practice Address - Street 1:3988 ALLEGHANY DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-1990
Practice Address - Country:US
Practice Address - Phone:717-824-9817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133002402103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst