AMANDA VICKSTROM RBT
NPI 1538983192
Behavior Technician in Bloomington, IN

Q: What is Amanda Vickstrom's NPI number?

The NPI number for Amanda Vickstrom is 1538983192. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Q: What is Amanda Vickstrom's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Vickstrom was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 11, 2024

227 W GRIMES LN, BLOOMINGTON, IN 47403(812) 322-0313 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amanda Vickstrom Rbt NPPES

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

AMANDA VICKSTROM RBT (NPI 1538983192) is an individual behavior technician in Bloomington, Indiana, licensed in Indiana (RBT-24-391130) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1538983192

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameAMANDA VICKSTROMCredential: RBT

Location Address227 W GRIMES LNBloomington, IN 47403-3015

Mailing AddressPo Box 668Bloomington, IN 47402-0668 · (812) 322-0313 · Fax (812) 610-1814

Phone(812) 322-0313

Sole ProprietorNo

Enumeration DateNovember 11, 2024

NPPES CertifiedNovember 11, 2024

✔ NPI 1538983192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

License✔ Licensed in IN · RBT-24-391130

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

227 W GRIMES LN, Bloomington, IN 47403

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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.

MICHELLE HASEMAN

Behavior Technician