Amanda Lea Elliott, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB246043 Issued in TX

Practice address

1020 Trimmier Rd
Killeen, TX 76541-8029

Phone

(254) 760-0494

NPI assigned

Jun 23, 2016

Last updated

Jun 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amanda Elliott

  • Behavior Analyst
  • Clarksville, TN
  • NPI 1366969982
  NPD Authorized official
• Central Texas Behavioral Solutions, PLLC

  • Behavior Analyst
  • Killeen, TX
  • NPI 1679972871
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1073964748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CEDAR RIDGE DR",
            "address_2": "UNIT A",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594698",
            "telephone_number": "254-291-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TRIMMIER RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765418029",
            "telephone_number": "254-760-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "AMANDA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "BACB246043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glennon Raymond Einspanier Jr., M.D.
• Ej Health Group LLC
• Toma Osama Ekanem, NP
• Fayza Abdel-Reheim El-Sissy, MD
• Donald Edmund Ellefson, LPN
• Johnathan Elliott
• Ryan Burns Elliott, M.D.
• Kayla Ellis
• Leah Ellis, DPT
• Pamela Ann Ellis, BCABA

• Behavior Analyst in Killeen, TX
• Providers in Killeen, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.