AMANDA SISSOM
NPI 1407374887
Behavior Analyst in Meridian, ID

Active since September 06, 2017
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642(208) 417-7971 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2026, Jul 21, 2022, Mar 8, 2022 (3 updates tracked since 2022).

About Amanda Sissom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA SISSOM (NPI 1407374887) is an individual behavior analyst provider in Meridian, Idaho, licensed in Idaho (1-21-57129) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1407374887
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameAMANDA SISSOM
Location Address1905 S TOPAZ WAY STE 100Meridian, ID 83642-4477
Mailing Address1905 S Topaz Way Ste 100Meridian, ID 83642-4477 · (208) 417-7971
Sole ProprietorNo
Enumeration DateSeptember 6, 2017
Last NPPES UpdateJanuary 22, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1407374887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in ID · 1-21-57129
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedDevelopmental TherapistTaxonomy 222Q00000X · License 1-21-57129 (ID)
1905 S TOPAZ WAY STE 100, Meridian, ID 83642

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1905 S TOPAZ WAY STE 100
MERIDIAN, ID 83642
Behavior Technician
1905 S TOPAZ WAY STE 100
MERIDIAN, ID 83642
Behavior Technician
1905 S TOPAZ WAY STE 100
MERIDIAN, ID 83642
Behavior Technician
1905 S TOPAZ WAY STE 100
MERIDIAN, ID 83642
Behavior Technician
1905 S TOPAZ WAY STE 100
MERIDIAN, ID 83642
Behavior Technician
1905 S TOPAZ WAY STE 100
MERIDIAN, ID 83642
Behavior Technician
1905 S TOPAZ WAY STE 100
MERIDIAN, ID 83642
Behavior Technician
1905 S TOPAZ WAY STE 100
MERIDIAN, ID 83642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Sissom's NPI number?

The NPI number for Amanda Sissom is 1407374887. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Where is Amanda Sissom located?

Amanda Sissom practices at 1905 S Topaz Way Ste 100, Meridian, ID 83642. The listed phone number is (208) 417-7971.

What is Amanda Sissom's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Amanda Sissom accept?

Health plans from Providence Health Plan list Amanda Sissom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Sissom was last updated on January 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.