Amanda M Quinitchett

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

106S00000X Issued in NJ

Practice address

362 E Glen Ave
Ridgewood, NJ 07450-1816

Phone

(973) 393-0539

NPI assigned

May 19, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1336830231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BROOKDALE GDNS",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070036307",
            "telephone_number": "973-393-0539",
            "fax_number": "973-393-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 E GLEN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501816",
            "telephone_number": "973-393-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINITCHETT",
        "first_name": "AMANDA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Pucci, D.O.
• Eileen F Purcell, LCSW, MSW
• Richa Pursnani, MD
• Yedahalli Vanitha Puttaswamy, M.D.
• Maria Quincy, M.D.
• Sahar Rabiei Samani
• Selma Radoncic, APN
• Michael G Rahmin, M.D.
• Vikki Raider, LCSW
• Melissa McDermott Raines, LCSW

• Behavior Technician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Behavior Technician in New Jersey

• 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.