Amy Elizabeth Anderson, M.ED, BCBA

Key facts

NPI

1467750331

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

License

1-11-8108 (OK)

Practice address

2601 NW 118TH St
Oklahoma City, OK 73120-7002

Phone

(405) 503-6591

NPI assigned

Mar 2, 2011

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Education

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 2, 2011.

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1467750331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NW 118TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207002",
            "telephone_number": "405-503-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NW 118TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207002",
            "telephone_number": "405-503-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-11-8108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

• Andy John Anders, C.P., L.P.
• Anderson Recovery Center
• Anderson Sports Medicine and Orthopedic Center, P.L.L.C.
• Alexis Anderson, M.M.F.T.
• Alison Anderson
• Angela Marie Anderson
• April Anderson
• Benjamin Charles Anderson, PHARMD
• Briana Anderson, M.ED
• Carol Jean Anderson, MHR, LPC

All providers in Oklahoma City, OK · Behavior Analyst in Oklahoma