Active NPI
Amanda Marie Lee, BCBA, LABA
- Behavior Analyst
- Wellesley Hills, MA
National Provider Identifier
1497279160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1977
- Practice address
- 35 Walnut St Ste 200
Wellesley Hills, MA 02481-2101 - Phone
- (844) 923-4222
- NPI assigned
- Aug 3, 2017
- 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 | 1977 | MA | Primary |
Addresses
Primary practice location
35 Walnut St Ste 200
Wellesley Hills, MA 02481-2101
Mailing address
35 Walnut St Ste 200
Wellesley Hills, MA 02481-2101
Phone (844) 923-4222
Other practice location 1
35 Walnut St Ste 200
Wellesley Hills, MA 02481-2101
Phone (844) 902-4222
Other practice location 2
639 Granite St
Braintree, MA 02184-5366
Phone (617) 505-6183
Other names 1
- Amanda Marie Bullard
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavioral Programs PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Brookline, MA
- NPI 1093274086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1497279160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 WALNUT ST STE 200",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024812101",
"telephone_number": "844-923-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 WALNUT ST STE 200",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024812101",
"telephone_number": "844-923-4222"
}
],
"practiceLocations": [
{
"address_1": "35 Walnut St Ste 200",
"address_purpose": "LOCATION",
"city": "Wellesley Hills",
"state": "MA",
"postal_code": "024812101",
"country_code": "US",
"telephone_number": "844-902-4222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "639 Granite St",
"address_purpose": "LOCATION",
"city": "Braintree",
"state": "MA",
"postal_code": "021845366",
"country_code": "US",
"telephone_number": "617-505-6183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "BCBA, LABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "BULLARD",
"middle_name": "MARIE",
"credential": "BCBA, LABA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.