Active NPI
Amanda Speshock
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1417614843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12366879
- Practice address
- 4456 E Arapahoe St
Phoenix, AZ 85044-3202 - Phone
- (303) 478-0404
- NPI assigned
- Nov 19, 2021
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12366879 | CO | Primary |
Addresses
Primary practice location
4456 E Arapahoe St
Phoenix, AZ 85044-3202
Mailing address
4456 E Arapahoe St
Phoenix, AZ 85044-3202
Phone (303) 478-0404
Other practice location 1
1330 Quail Lake Loop Ste 120
Colorado Springs, CO 80906-4651
Phone (719) 540-2108
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 |
|---|---|---|---|
| 12366879 | CO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1417614843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4456 E ARAPAHOE ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850443202",
"telephone_number": "303-478-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4456 E ARAPAHOE ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850443202",
"telephone_number": "303-478-0404"
}
],
"practiceLocations": [
{
"address_1": "1330 Quail Lake Loop Ste 120",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809064651",
"country_code": "US",
"telephone_number": "719-540-2108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPESHOCK",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "12366879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.