Amber Brantley, M.A., LPA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-9046 Issued in NC

Practice address

7801 Olde Pond Rd
Wilmington, NC 28411-6206

Phone

(919) 630-8764

Fax

(910) 401-1882

NPI assigned

Jun 23, 2011

Last updated

Apr 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amber E Thacker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Coastal Autism Solutions

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1528300357
  Authorized official Same address or phone

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1699061028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10494",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284040494",
            "telephone_number": "919-630-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLDE POND RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116206",
            "telephone_number": "919-630-8764",
            "fax_number": "910-401-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "AMBER",
        "credential": "M.A., LPA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-11-9046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "THACKER",
            "middle_name": "E",
            "credential": "MA, LPA, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicolas Allen Brandt, MD
• Susan Marie Brandt, FNP
• Kathleen Smith Brannigan, OT/L
• Richard J Brannin, PT
• Sandra S Brannin, DO
• Samantha Kuhlman Branton, FNP
• Alana Leigh Braren, PHARMD
• Deborah Magnan Brasic, F.N.P.
• April Athena Braswell, CPNP
• Matthew Joel Braswell, MD

• Behavior Analyst in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.