Individual provider Active NPI

Amanda McGlone

  • Behavior Analyst
  • Oak Harbor, WA
National Provider Identifier
1356849236
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
RBT-18-52796FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water Behavioral Consulting LLC Behavior Analyst CurrentSince Aug 1, 2021 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.

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.

Verify at the official NPI Registry.