Active NPI
Amy Marciano, PPS, LEP3788, BCBA
- School Psychologist
- Agoura Hills, CA
National Provider Identifier
1376430116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LEP3788
- Practice address
- 30787 Mainmast Dr
Agoura Hills, CA 91301-1935 - Phone
- (805) 304-9580
- NPI assigned
- Jun 23, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LEP3788 | CA | Primary |
Addresses
Primary practice location
30787 Mainmast Dr
Agoura Hills, CA 91301-1935
Mailing address
30787 Mainmast Dr
Agoura Hills, CA 91301-1935
Phone (805) 304-9580
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 |
|---|---|---|---|
| LEP3788 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1376430116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30787 MAINMAST DR",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913011935",
"telephone_number": "805-304-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30787 MAINMAST DR",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913011935",
"telephone_number": "805-304-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCIANO",
"first_name": "AMY",
"credential": "PPS, LEP3788, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "LEP3788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.