Active NPI
Amber D Grooms, MA, BCBA, LBA
- Behavior Analyst
- Olathe, KS
National Provider Identifier
1508498833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 00522
- Practice address
- 480 S Rogers Rd
Olathe, KS 66062-1706 - Phone
- (913) 764-2887
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 00522 | KS | Primary |
| Behavior Analyst | 103K00000X | 2020000892 | MO |
Addresses
Primary practice location
480 S Rogers Rd
Olathe, KS 66062-1706
Mailing address
480 S Rogers Rd
Olathe, KS 66062-1706
Phone (913) 764-2887
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00522 | KS | MD | Behavioral Analyst |
| 2020000892 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661644800000",
"number": "1508498833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 S ROGERS RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621706",
"telephone_number": "913-764-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 S ROGERS RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621706",
"telephone_number": "913-764-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROOMS",
"first_name": "AMBER",
"middle_name": "D",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2022-08-28",
"certification_date": "2022-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KS",
"license": "00522",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2020000892",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.