Active NPI
Amelia Beatrice Andrews, BCBA
- Behavior Analyst
- Erving, MA
National Provider Identifier
1689236820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49462
- Practice address
- 1 River St
Erving, MA 01344-4403 - Phone
- (413) 776-4422
- NPI assigned
- Jul 8, 2019
- Reactivated
- May 18, 2021
- Last updated
- Dec 19, 2024
- 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 Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-49462 | NH | Primary |
Addresses
Primary practice location
1 River St
Erving, MA 01344-4403
Mailing address
1 River St
Erving, MA 01344-4403
Phone (413) 776-4422
Other practice location 1
90 Parker St
Gardner, MA 01440-3809
Phone (413) 776-4422
Other names 1
- Amelia Beatrice Desjardins
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 |
|---|---|---|---|
| Autism Bridges LLC | Behavior Analyst | Past | Accepting new patients |
| Pragmatic ABA | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Bedford, NH
- NPI 1205131596
-
- Behavior Analyst
- Hampstead, NH
- NPI 1366063489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1689236820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RIVER ST",
"city": "ERVING",
"state": "MA",
"postal_code": "013444403",
"telephone_number": "413-776-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIVER ST",
"city": "ERVING",
"state": "MA",
"postal_code": "013444403",
"telephone_number": "413-776-4422"
}
],
"practiceLocations": [
{
"address_1": "90 Parker St",
"address_purpose": "LOCATION",
"city": "Gardner",
"state": "MA",
"postal_code": "014403809",
"country_code": "US",
"telephone_number": "413-776-4422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREWS",
"first_name": "AMELIA",
"middle_name": "BEATRICE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"deactivation_date": "2021-04-27",
"reactivation_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NH",
"license": "1-21-49462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMELIA",
"last_name": "DESJARDINS",
"middle_name": "BEATRICE",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Erving, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.