Active NPI
Amy Stirman, M.S., BCBA
- Behavior Analyst
- Mountain View, CA
National Provider Identifier
1306132428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1117976
- Practice address
- 36 Oak LN
Mountain View, CA 94040-2629 - Phone
- (617) 501-8742
- NPI assigned
- Jun 27, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1117976 | MA | Primary |
Addresses
Primary practice location
36 Oak LN
Mountain View, CA 94040-2629
Mailing address
36 Oak LN
Mountain View, CA 94040-2629
Phone (617) 501-8742
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1117976 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1306132428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 OAK LN",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402629",
"telephone_number": "617-501-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 OAK LN",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402629",
"telephone_number": "617-501-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIRMAN",
"first_name": "AMY",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1117976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.