Amy Baltensperger, RBT, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1011 Issued in TN

Practice address

6413 Quince Rd
Memphis, TN 38119-8219

Phone

(901) 690-5213

Fax

(901) 666-8440

NPI assigned

Jun 8, 2021

Last updated

Aug 10, 2022By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1124695176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198219",
            "telephone_number": "901-690-5213",
            "fax_number": "901-666-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198219",
            "telephone_number": "901-690-5213",
            "fax_number": "901-666-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTENSPERGER",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "RBT, LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-21-169194",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-22-59431",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-21-169194",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tawni Ballinger, SLP
• Whitney Carol Ballinger
• Matthew T. Ballo, M.D.
• Wesam Ballouk, MD
• Olivia Balsley Saltus
• Chad Baltz, DMD
• Sandra Baltz, MD
• Amin Bandealy, M.D.
• Jack P Bandura, MD
• Mary Bandy

• Behavior Analyst in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.