Amber Peek

Key facts

NPI

1104515089

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

220 N Park Blvd
Grapevine, TX 76051-6987

Phone

(817) 796-6860

NPI assigned

May 5, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2023.

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1104515089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N PARK BLVD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516987",
            "telephone_number": "817-796-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PARK BLVD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516987",
            "telephone_number": "817-796-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEK",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

• Barbara S Peavey, PHD
• Pediatric Dermatology of No. TX
• Pediatric Ophthalmology PA
• Pediatric Sports and Spine Associates
• Pediatric Theraplay Inc
• Rebecca Elizabeth Pegues, PHARMACY TECH
• Carmen Loren Pemberton, NP
• Ismail S Penukonda, MD
• Richard Perez, D.D.S.
• Perimeter Outpatient Services, LLC

All providers in Grapevine, TX · Behavior Technician in Texas