Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Motisi

Individual provider Early Intervention Provider Agency · NPI 1508694258

Amanda Motisi is an Early Intervention Provider Agency in Lake Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

624 Hawkins Ave
Lake Ronkonkoma, NY 11779-2375
Phone: (631) 240-3579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 1218218 (NY)

Record details

NPI number1508694258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 24, 2024
Last updated in NPPESJuly 24, 2024
Certification dateJuly 12, 2024

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