Individual
AMANDA ANNE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
6752 U S HIGHWAY 98, HATTIESBURG, MS 39402-8443
(601) 264-0200
Mailing address
4584 OLD HIGHWAY 11, PURVIS, MS 39475-3506
(601) 520-4637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56111
—
103K00000X
Behavior Analyst
220008
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-56111
BACB CERTIFICATION NUMBER
—
01
—
220008
LICENSED BEHAVIOR ANALYST
MS
Enumeration date
12/20/2022
Last updated
12/20/2022
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