AMANDA L BALLARD, CSAC, SAC-IT, OT JANESVILLE, WI

Contact Information

AMANDA L BALLARD, CSAC, SAC-IT, OT

2600 HUMES RD STE 100
JANESVILLE, WI 53545

Phone: 608-741-2117
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction (Substance Use Disorder)	101YA0400X
Occupational Therapist	225X00000X	67	Occupational Therapist in Private Practice

Indicates primary specialty

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NPI Profile & details for AMANDA L BALLARD · (Female)

NPI Number	`1851546667`
Status	Active
Credentials	CSAC, SAC-IT, OT
Entity	Individual
Enumeration date	11/20/2008
Last updated	01/14/2026 - About 5 months ago
Sole proprietor ¹	No
Identifiers	IL License # 056008907 MN License # 103657 WI License # 17168-132 WI License # 18847-130 WI License # 5202-26 MN Medicaid ENROLLED
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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AMANDA L BALLARD, CSAC, SAC-IT, OT – NPI #1851546667Addiction (Substance Use Disorder)

Contact Information

Specialty

Addiction (Substance Use Disorder)

Occupational Therapist

NPI Profile & details for AMANDA L BALLARD · (Female)

Reviews for AMANDA L BALLARD

AMANDA L BALLARD, CSAC, SAC-IT, OT – NPI #1851546667
Addiction (Substance Use Disorder)