Individual
AMANDA ICENOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 ROSS CLARK CIR, DOTHAN, AL 36301-4925
(334) 699-4007
(334) 699-4014
Mailing address
60 COUNTY ROAD 755, ENTERPRISE, AL 36330-1553
(334) 464-0063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133086
—
AL
Enumeration date
05/25/2021
Last updated
05/25/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us