Active NPI
Jon Bamba, BCBA, LBA
- Behavior Analyst
- Upper Marlboro, MD
National Provider Identifier
1154837144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA2225
- Practice address
- 4741 Colonel Ashton PL
Upper Marlboro, MD 20772-2881 - Phone
- (808) 300-9059
- NPI assigned
- Dec 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA2225 | MD | Primary |
Addresses
Primary practice location
4741 Colonel Ashton PL
Upper Marlboro, MD 20772-2881
Mailing address
1314 S. Grand Blvd Ste 2 PMB 238
Spokane, WA 99202
Phone (808) 300-9059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA-725 | HI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kupukupu Consulting Hawaii, LLC | Behavior Analyst | Current | Accepting new patients |
| L.E.a.P.S and Beyond, Inc | Past | Accepting new patients |
Locations
65-1692 Kohala Mountain Rd
Kamuela, HI 96743
Phone (808) 300-9059
Organizations & group practices 2
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.
-
- Behavior Analyst
- Kamuela, HI
- NPI 1932980448
-
- Community/Behavioral Health Agency
- Oak Harbor, WA
- NPI 1538504592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1154837144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 S. GRAND BLVD STE 2 PMB 238",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99202",
"telephone_number": "808-300-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4741 COLONEL ASHTON PL",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207722881",
"telephone_number": "808-300-9059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMBA",
"first_name": "JON",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-28",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LBA2225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.