Individual provider Active NPI

Amy Walter, BCBA

  • Behavior Analyst
  • Hiawatha, IA
National Provider Identifier
1427403054
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-19875 Issued in CO
Practice address
1661 Boyson Square Dr
Suite 100
Hiawatha, IA 52233-2344
Phone
(319) 221-7376
Fax
(515) 957-3380
NPI assigned
May 2, 2016
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-19875 CO Primary

Addresses

Primary practice location

1661 Boyson Square Dr
Suite 100
Hiawatha, IA 52233-2344

Mailing address

2205 E Grantview Dr Ste 101
Coralville, IA 52241-3406
Phone (319) 294-9609

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

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1427403054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E GRANTVIEW DR STE 101",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413406",
            "telephone_number": "319-294-9609",
            "fax_number": "515-957-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 BOYSON SQUARE DR",
            "address_2": "SUITE 100",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332344",
            "telephone_number": "319-221-7376",
            "fax_number": "515-957-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "AMY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-15-19875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.