Individual provider Active NPI

Emily Inzana Amonette

  • Behavior Analyst
  • Charlottesville, VA
National Provider Identifier
1639662869
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000874 Issued in VA
Practice address
3040 Avemore Square PL
Charlottesville, VA 22911-7228
Phone
(434) 220-0089
Fax
(434) 220-0103
NPI assigned
Jun 12, 2018
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133000874 VA Primary

Addresses

Primary practice location

3040 Avemore Square PL
Charlottesville, VA 22911-7228

Mailing address

3040 Avemore Square PL
Charlottesville, VA 22911-7228
Phone (434) 220-0089

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

State licenses

LicenseStateTypeSpecialty
0133000874VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Youth Services CurrentSince Mar 19, 2023 Accepting new patients
Compass Youth Services PastSince Mar 19, 2023 Accepting new patients

Locations

3040 Avemore Square Pl
Charlottesville, VA 22911
Phone (434) 220-0089

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1639662869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 AVEMORE SQUARE PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117228",
            "telephone_number": "434-220-0089",
            "fax_number": "434-220-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 AVEMORE SQUARE PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117228",
            "telephone_number": "434-220-0089",
            "fax_number": "434-220-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMONETTE",
        "first_name": "EMILY",
        "middle_name": "INZANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.