Amanda Jacquart, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25364 Issued in CA

Practice address

27720 Jefferson Ave
Suite 150
Temecula, CA 92590-2610

Phone

(951) 699-8640

Fax

(951) 699-8650

NPI assigned

Apr 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Danti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bierman ABA Inc.

  • Developmental Disabilities Clinic/Center
  • Westfield, IN
  • NPI 1114285855

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1154854271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "address_2": "SUITE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345",
            "fax_number": "818-449-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27720 JEFFERSON AVE",
            "address_2": "SUITE 150",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902610",
            "telephone_number": "951-699-8640",
            "fax_number": "951-699-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUART",
        "first_name": "AMANDA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-25364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DANTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Jackson, HIS
• Jacob Chae DMD Inc
• Jacob Hall, M.D., Inc.
• Kaila Jacobs, RBT
• Trevor Jarroux Jacobs
• Yamilah Soledad Jaen
• Niloufar Jafari Namini, MD
• Alison Jaffe
• Jasmine Jaimez
• Jakewood Medical Professional Corporation

• Behavior Analyst in Temecula, CA
• Providers in Temecula, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.