Amanda Pfaffenbach

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

55 Deer Park Dr
East Longmeadow, MA 01028-3198

Phone

(413) 525-1500

Fax

(413) 525-1900

NPI assigned

Mar 21, 2024

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

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 and National Provider Directory roles.

• Embracing Life'S Path LLC

  • Day Training/Habilitation Specialist
  • East Longmeadow, MA
  • NPI 1770237323
  NPD
• Embracing the Creative Child, LLC

  • Behavior Analyst
  • East Longmeadow, MA
  • NPI 1285188102
  NPD

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1124888664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DEER PARK DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DEER PARK DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283198",
            "telephone_number": "413-525-1500",
            "fax_number": "413-525-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFFENBACH",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Dermesropian, PLLC
• Nancy Paulides, BSN, M.ED.,RN
• Jennifer Elizabeth Peak-Smith, LICSW
• Pediatric Services of Springfield, Inc.
• Performance Rehabilitation of Western New England LLC
• Jennifer Pierce
• Kathleen D. Pion, C.P.N.P.
• Pioneer Valley Wellness, Inc.
• Tyler Porcello
• Cynthia Porter

• Behavior Analyst in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.