Amanda Damico, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-46003 Issued in NY

Practice address

9723 Rathburn Ave
Northridge, CA 91325-1739

Phone

(818) 271-7128

NPI assigned

Aug 30, 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

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.

• Developmental Dynamo, Inc.

  • Community/Behavioral Health Agency
  • Northridge, CA
  • NPI 1518315498
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1255008975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 S GRAND AVE APT 2125",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9723 RATHBURN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251739",
            "telephone_number": "818-271-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "AMANDA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-20-46003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Dahlstrom, MSN, CPNP, PHN, RN
• Zipporah Charee Elise Dailey
• Maria Dakessian, D.M.D
• Michael E Damavandi, DO
• Rebecca Dameron-Brown
• Naeemah Damis-Salaam
• Linda Damon
• Dan Home Health Care, Inc.
• Analyn Danan
• Nahal Danesh

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.