Active NPI
Anka Amadeo, M.A., BCBA
- Behavior Analyst
- Garden Grove, CA
National Provider Identifier
1184098519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 103K00000X
- Practice address
- 12443 Lewis St Ste 201
Garden Grove, CA 92840-4650 - Phone
- (714) 748-4440
- NPI assigned
- Nov 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 103K00000X | Primary | |
| Behavior Analyst | 103K00000X | 1-21-50901 | CA |
Addresses
Primary practice location
12443 Lewis St Ste 201
Garden Grove, CA 92840-4650
Mailing address
4245 W 182ND St Apt E
Torrance, CA 90504-4635
Phone (425) 323-2189
Other practice location 1
1021 El Camino Real
Apt 201
Burlingame, CA 94010-4937
Phone (312) 217-2003
Other names 1
- Ms. Anka Amadeo
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1184098519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 W 182ND ST APT E",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905044635",
"telephone_number": "425-323-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12443 LEWIS ST STE 201",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404650",
"telephone_number": "714-748-4440"
}
],
"practiceLocations": [
{
"address_1": "1021 El Camino Real",
"address_2": "Apt 201",
"address_purpose": "LOCATION",
"city": "Burlingame",
"state": "CA",
"postal_code": "940104937",
"country_code": "US",
"telephone_number": "312-217-2003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMADEO",
"first_name": "ANKA",
"name_prefix": "Ms.",
"credential": "M.A., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "103K00000X",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-50901",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANKA",
"last_name": "AMADEO",
"prefix": "MS.",
"credential": "M.A., BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.