Individual provider Active NPI

Amanda Lee Karpien, BCABA

  • Assistant Behavior Analyst
  • Pooler, GA
National Provider Identifier
1316109986
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-19-10472 Issued in GA
Practice address
1000 Towne Center Blvd
Pooler, GA 31322-4052
Phone
(706) 842-5330
Fax
(706) 842-5340
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Assistant Behavior Analyst 106E00000X 0-19-10472 GA Primary
Mental Health Counselor 101YM0800X
Assistant Behavior Analyst 106E00000X 01910472 PA

Addresses

Primary practice location

1000 Towne Center Blvd
Pooler, GA 31322-4052

Mailing address

209 7TH St FL 3
Augusta, GA 30901-1486
Phone (706) 842-5330

Other practice location 1

377 Indian Lake Trl
White Haven, PA 18661-2008
Phone (272) 276-9836

Other practice location 2

251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 628-5504

Other practice location 3

104 Pickerel Ln
Greentown, PA 18426-3524
Phone (510) 857-7604

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

State licenses

LicenseStateTypeSpecialty
01910472PAMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1316109986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 7TH ST FL 3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011486",
            "telephone_number": "706-842-5330",
            "fax_number": "706-842-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224052",
            "telephone_number": "706-842-5330",
            "fax_number": "706-842-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Indian Lake Trl",
            "address_purpose": "LOCATION",
            "city": "White Haven",
            "state": "PA",
            "postal_code": "186612008",
            "country_code": "US",
            "telephone_number": "272-276-9836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Llewellyn Ave",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "95008",
            "country_code": "US",
            "telephone_number": "408-628-5504",
            "fax_number": "408-628-5517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Pickerel Ln",
            "address_purpose": "LOCATION",
            "city": "Greentown",
            "state": "PA",
            "postal_code": "184263524",
            "country_code": "US",
            "telephone_number": "510-857-7604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARPIEN",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "GA",
            "license": "0-19-10472",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "PA",
            "license": "01910472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.