Amber Poole, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-34229 Issued in CA

Practice address

501 E Harvard St
Glendale, CA 91205-1114

Phone

(877) 541-3331

NPI assigned

Jan 15, 2021

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1245829076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E HARVARD ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051114",
            "telephone_number": "877-541-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARVARD ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051114",
            "telephone_number": "877-541-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "AMBER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-34229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GLENDALE",
            "affiliation": "N",
            "endpointDescription": "glendale",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "GLENDALE",
            "address_1": "501 E Harvard St",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912051114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GLENDALE",
            "affiliation": "N",
            "endpointDescription": "glendale",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "GLENDALE",
            "address_1": "501 E Harvard St",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912051114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gilbert Jee Pon, PT
• Tiffanie Melumar Pon, OTR/L
• Triva Ann Ponder, LMFT
• Pondus Medical Ca, PC
• Sally Lorraine Pontrelli
• Charles Poon, DO, MS
• Marie R Poore, MFT
• Ervin Poorghasamians
• Johanna Popp
• Matthew Porcell, NONE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.