Amy Kroczak, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

105B 182ND PL SW
Bothell, WA 98012-6204

Phone

(425) 736-2816

NPI assigned

Jan 14, 2020

Last updated

Jan 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Amy Dart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowered Learning, Inc.

  • Home Health Agency
  • Bothell, WA
  • NPI 1598393837
  NPD Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1487294831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105B 182ND PL SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126204",
            "telephone_number": "425-736-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105B 182ND PL SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126204",
            "telephone_number": "425-736-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCZAK",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "BA60973206",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-18-32892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Kredit, PT
• Richard Lowell Kreider, MS CCC-SLP
• Joshua Kreifels, RD
• Laura Krieger, LICSW
• Kristi M King PHD PS
• Charlotta Sorine Kromann, SLP
• Daniel Oscar Krupicka, OTR/L, C/NDT
• Cathy Selby Kruse, LMP
• Camilla Kuhns, BCBA
• Aarti Anjali Kumar

• Behavior Analyst in Bothell, WA
• Providers in Bothell, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.