Amy Anderson
Individual provider Active NPI Behavior Analyst · Lacey, WA
NPI 1619308392 · NPPES record last updated Dec 6, 2013
Key facts
- NPI
- 1619308392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 8282 28TH CT NE
Suite a
Lacey, WA 98516-7162 - Phone
- (360) 915-6868
- Fax
- (360) 547-6470
- NPI assigned
- Dec 6, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basics Northwest | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
8282 28TH CT NE
Suite a
Lacey, WA 98516-7162
Mailing address
8282 28TH CT NE
Suite a
Lacey, WA 98516-7162
Phone (360) 915-6868
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.