Amanda Lundberg

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15306

Practice address

1511 Johnson Ferry Rd Ste 145
Marietta, GA 30062

Phone

(404) 480-3842

NPI assigned

Mar 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1497296495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172679",
            "telephone_number": "615-695-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 JOHNSON FERRY RD STE 145",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "404-480-3842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27200 Tourney Rd",
            "address_2": "#255",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554990",
            "country_code": "US",
            "telephone_number": "661-222-9901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27200 Tourney Rd",
            "address_2": "#255",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554990",
            "country_code": "US",
            "telephone_number": "661-222-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-15306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Ashley Luera
• Gordon Luk, MD
• Sarah Victoria Luksik
• Yamma Brown Lumar, PHARM.D.
• Luminary Eye Care, LLC
• Gina P Lundberg, MD
• Sherri M Lundquist, P.T.
• Daniel Lundrigan, D.C.
• Kelley Lynn Lutz, PHYSICAL THERAPIST
• Theresa D. Luu, M.D.

• Behavior Analyst in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.