Active NPI
Amanda McGlone
- Behavior Analyst
- Oak Harbor, WA
National Provider Identifier
1356849236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 851 SE Pioneer Way Ste 201
Oak Harbor, WA 98277 - Phone
- (360) 333-5684
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-52796 | FL | |
| Developmental Therapist | 222Q00000X | FL | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
851 SE Pioneer Way Ste 201
Oak Harbor, WA 98277
Mailing address
14513 Nettle Creek Rd
Tampa, FL 33624-2640
Phone (813) 390-1340
Other practice location 1
3010 Highland Oaks Terr
Tallahassee, FL 32301
Phone (800) 356-4049
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 2041449 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-52796 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Water Behavioral Consulting LLC | Behavior Analyst | Current | Accepting new patients |
Locations
851 SE Pioneer Way
Ste 201
Oak Harbor, WA 98277
Phone (360) 333-5684
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Oak Harbor, WA
- NPI 1811311517
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1356849236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14513 NETTLE CREEK RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336242640",
"telephone_number": "813-390-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 SE PIONEER WAY STE 201",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "98277",
"telephone_number": "360-333-5684"
}
],
"practiceLocations": [
{
"address_1": "3010 Highland Oaks Terr",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "32301",
"country_code": "US",
"telephone_number": "800-356-4049",
"fax_number": "813-337-0937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGLONE",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-52796",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "2041449",
"affiliation": "N",
"address_1": "851 SE Pioneer Way Ste 201",
"city": "Oak Harbor",
"state": "WA",
"country_code": "US",
"postal_code": "982775789",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.