Amanda Ruth Davidson, B.C.B.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-6647 Issued in AL

Practice address

155 Bartram Market Dr Ste 135-286
Saint Johns, FL 32259-4581

Phone

(904) 827-3886

Fax

(844) 380-4778

NPI assigned

Jul 6, 2010

Last updated

Jan 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Amanda Ruth Gisbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Anchors Aweigh ABA LLC

  • Behavior Analyst
  • Ponte Vedra, FL
  • NPI 1083122295
  NPD Authorized official

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1083926182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BARTRAM MARKET DR STE 135-286",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594581",
            "telephone_number": "904-827-3886",
            "fax_number": "844-380-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BARTRAM MARKET DR STE 135-286",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594581",
            "telephone_number": "904-827-3886",
            "fax_number": "844-380-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "AMANDA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "B.C.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-09-6647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GISBERT",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "credential": "M.S., BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Allen Dacunha, DMD
• Julia R Daly, BCBA
• Dau Family Eye Care, PLLC
• Jordan Patrick Dau, O.D.
• Madeline Rose Dau, O.D.
• Robert Davidson, MS, BCBA
• Karen Y Davies, M.P.T
• William Javier Davila, M.D.
• Carmen Cristina Davis, FNP-C
• Rhonda Joyce Davis

• Behavior Analyst in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.