Provider Demographics
NPI:1881447134
Name:LUDWIGS, AMANDA LYN (RBT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LYN
Last Name:LUDWIGS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 N 40TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1146
Mailing Address - Country:US
Mailing Address - Phone:531-242-9521
Mailing Address - Fax:
Practice Address - Street 1:11 S 1ST ST
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-4315
Practice Address - Country:US
Practice Address - Phone:531-242-9521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician