Provider Demographics
NPI:1598648628
Name:YURICK, AMANDA (PHD, BCBA-D, COBA)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:YURICK
Suffix:
Gender:F
Credentials:PHD, BCBA-D, COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3834 FAVERSHAM RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3730
Mailing Address - Country:US
Mailing Address - Phone:614-323-4112
Mailing Address - Fax:
Practice Address - Street 1:2485 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115
Practice Address - Country:US
Practice Address - Phone:216-523-7253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOBA.137103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst