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AMANDA KERI DORMAN MA, BCBA
NPI 1558725267
Behavior Analyst in South Bend, IN

Active since April 08, 2016
17390 DUGDALE DR, SOUTH BEND, IN 46635(574) 400-2169(765) 454-9759 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2018, Mar 2, 2018 (2 updates tracked since 2018).

About Amanda Keri Dorman Ma, Bcba NPPES

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

AMANDA KERI DORMAN MA, BCBA (NPI 1558725267) is an individual behavior analyst provider in South Bend, Indiana and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1558725267
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameAMANDA KERI DORMANCredential: MA, BCBA
Location Address17390 DUGDALE DRSouth Bend, IN 46635-1512
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (765) 454-9759
Phone(574) 400-2169
Fax(765) 454-9759
Sole ProprietorNo
Enumeration DateApril 8, 2016
Last NPPES UpdateApril 23, 20182 updates tracked since enumeration
✔ NPI 1558725267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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 ListedAssistant Behavior AnalystTaxonomy 106E00000X
17390 DUGDALE DR, South Bend, IN 46635
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Other Identifiers 2

Other1-18-30099Bcba Certificate
Other0-16-7064Bcaba Certificate

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 6

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

CARLLIE JO-LOUISE BICE MA, BCBA
Behavior Analyst
17390 DUGDALE DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
JENNIFER HINKLE
Behavior Analyst
17390 DUGDALE DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
MRS. HOLLY LYNN TUTHILL MS, SLP
Speech-Language Pathologist
17390 DUGDALE DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
MRS. COURTNEY R KAVANAUGH OTR
Occupational Therapist
17390 DUGDALE DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
KELLY LYNN DEAKINS MS, CCC-SLP
Speech-Language Pathologist
17390 DUGDALE DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
LISA GAIL JONES BCBA
Behavior Analyst
17390 DUGDALE DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169

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 Dorman's NPI number?

The NPI number for Amanda Dorman is 1558725267. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Amanda Dorman located?

Amanda Dorman practices at 17390 Dugdale Dr, South Bend, IN 46635. The listed phone number is (574) 400-2169.

What is Amanda Dorman's specialty?

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

What insurance does Amanda Dorman accept?

Health plans from CareSource list Amanda Dorman 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 Dorman was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.