Individual provider Active NPI

Amanda Kanahele, M.A., BCBA

  • Behavior Analyst
  • Valencia, CA
National Provider Identifier
1679944524
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-19476 Issued in CA
Practice address
25000 Avenue Stanford
100
Valencia, CA 91355-1224
Phone
(661) 309-7598
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 1-15-19476 CA Primary

Addresses

Primary practice location

25000 Avenue Stanford
100
Valencia, CA 91355-1224

Mailing address

25000 Avenue Stanford
100
Valencia, CA 91355-1224
Phone (661) 309-7598

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

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1679944524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD",
            "address_2": "100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551224",
            "telephone_number": "661-309-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD",
            "address_2": "100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551224",
            "telephone_number": "661-309-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAHELE",
        "first_name": "AMANDA",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-19476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.