Amanda Jo Broughton, BCBA, LBA-OR

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

339 W Broadway Apt 3
Eugene, OR 97401-2883

Phone

(949) 326-8894

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1487037693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W BROADWAY APT 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012883",
            "telephone_number": "949-326-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W BROADWAY APT 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012883",
            "telephone_number": "949-326-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "BCBA, LBA-OR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500693767",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie Brosemer, CADCII CRM QMHA
• Kymberlea Kirstin Broten, BS
• Donald Ray Brothers III, PSS, BA, THW
• Kendra Alison Brott, MAT, MS
• William Brotzman
• Scott Patrick Broussard
• Angelic Brower, THW
• Mary Alice Brown Johnston, PH.D.
• Alexander Lucas Brown, LMT
• Alyse Brown, APRN-NP

• Behavior Analyst in Eugene, OR
• Providers in Eugene, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.