Active NPI
Amber Lynne Medlin, BCBA
- Behavior Analyst
- Bryant, AR
National Provider Identifier
1003563032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 400 N Reynolds Rd
Bryant, AR 72022-3024 - Phone
- (501) 613-0385
- NPI assigned
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-202635 | AR | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
400 N Reynolds Rd
Bryant, AR 72022-3024
Mailing address
3648 Parsons Rd
Leola, AR 72084-8960
Phone (501) 304-1635
Other practice location 1
4328 Central Ave Ste M
Hot Springs, AR 71913-5907
Phone (501) 358-6535
Other practice location 2
2740 College Ave
Conway, AR 72034-6141
Phone (501) 329-5459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-202635 | AR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1003563032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3648 PARSONS RD",
"city": "LEOLA",
"state": "AR",
"postal_code": "720848960",
"telephone_number": "501-304-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N REYNOLDS RD",
"city": "BRYANT",
"state": "AR",
"postal_code": "720223024",
"telephone_number": "501-613-0385"
}
],
"practiceLocations": [
{
"address_1": "4328 Central Ave Ste M",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "AR",
"postal_code": "719135907",
"country_code": "US",
"telephone_number": "501-358-6535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2740 College Ave",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "AR",
"postal_code": "720346141",
"country_code": "US",
"telephone_number": "501-329-5459",
"fax_number": "501-327-1738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDLIN",
"first_name": "AMBER",
"middle_name": "LYNNE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AR",
"license": "RBT-22-202635",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.