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

Amanda Vickstrom, RBT

Individual provider Behavior Technician · NPI 1538983192

Amanda Vickstrom, RBT is a Behavior Technician in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

227 W Grimes Ln
Bloomington, IN 47403-3015
Phone: (812) 322-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-391130 (IN)

Record details

NPI number1538983192
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing addressPo Box 668, Bloomington, IN 47402-0668

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