Active NPI
Amanda C Pendleton
- Behavior Analyst
- Harrisburg, PA
National Provider Identifier
1467684357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-09-5019
- Practice address
- 6188 Spring Knoll Dr
Harrisburg, PA 17111-6803 - Phone
- (717) 576-1678
- NPI assigned
- Aug 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-09-5019 | Primary |
Addresses
Primary practice location
6188 Spring Knoll Dr
Harrisburg, PA 17111-6803
Mailing address
6188 Spring Knoll Dr
Harrisburg, PA 17111-6803
Phone (717) 576-1678
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": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1467684357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6188 SPRING KNOLL DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171116803",
"telephone_number": "717-576-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6188 SPRING KNOLL DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171116803",
"telephone_number": "717-576-1678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "AMANDA",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-09-5019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.