Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Sissom

Individual provider Behavior Analyst · NPI 1407374887

Amanda Sissom is a Behavior Analyst in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1905 S Topaz Way Ste 100
Meridian, ID 83642-4477
Phone: (208) 417-7971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-57129 (ID)
Developmental Therapist Taxonomy 222Q00000X · Licence 1-21-57129 (ID)

Record details

NPI number1407374887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2017
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

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