Individual provider Active NPI

Anka Amadeo, M.A., BCBA

  • Behavior Analyst
  • Garden Grove, CA
National Provider Identifier
1184098519
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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.

Verify at the official NPI Registry.