Active NPI
Amanda Rachel-Lee Vandewalker, BCBA
- Behavior Analyst
- Cameron Park, CA
National Provider Identifier
1528429016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3222 Royal Dr Ste Z
Cameron Park, CA 95682-8556 - Phone
- (530) 387-7544
- NPI assigned
- Mar 11, 2016
- Last updated
- Apr 8, 2021
- 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 | 1-18-31826 | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3222 Royal Dr Ste Z
Cameron Park, CA 95682-8556
Mailing address
5805 Cada Cir
Carmichael, CA 95608-0476
Other practice location 1
1337 Howe Ave
#107
Sacramento, CA 95825-3361
Phone (916) 564-5010
Other names 1
- Ms. Amanda Rachel Barbary
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 |
|---|---|---|---|
| Total Education Solutions | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba TES Therapy
- Early Intervention Provider Agency
- Rancho Cordova, CA
- NPI 1841586757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1528429016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 CADA CIR",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3222 ROYAL DR STE Z",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956828556",
"telephone_number": "530-387-7544"
}
],
"practiceLocations": [
{
"address_1": "1337 Howe Ave",
"address_2": "#107",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958253361",
"country_code": "US",
"telephone_number": "916-564-5010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDEWALKER",
"first_name": "AMANDA",
"middle_name": "RACHEL-LEE",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-11",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-31826",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "BARBARY",
"middle_name": "RACHEL",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cameron Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.