Active NPI
Amy Elizabeth Long, BCBA
- Behavior Analyst
- Pelham, AL
National Provider Identifier
1700530789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2685 Pelham Pkwy
Pelham, AL 35124-1354 - Phone
- (205) 624-2200
- Fax
- (205) 803-6923
- NPI assigned
- Feb 8, 2022
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2685 Pelham Pkwy
Pelham, AL 35124-1354
Mailing address
132 Carnoustie Dr
Pelham, AL 35124-6246
Phone (161) 098-4474
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1700530789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 CARNOUSTIE DR",
"city": "PELHAM",
"state": "AL",
"postal_code": "351246246",
"telephone_number": "161-098-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2685 PELHAM PKWY",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241354",
"telephone_number": "205-624-2200",
"fax_number": "205-803-6923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.