Active NPI
Amber Danielle Glantz
- Behavior Technician
- Portland, OR
National Provider Identifier
1720570914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 9115 SW Oleson Rd
Portland, OR 97223-6875 - Phone
- (971) 236-0915
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
9115 SW Oleson Rd
Portland, OR 97223-6875
Mailing address
2621 NE 131St CT
Vancouver, WA 98684-6428
Phone (925) 813-4823
Other practice location 1
811 San Ramon Valley Blvd
Danville, CA 94526-4025
Phone (925) 314-5767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XEH903730019 | Other | CA | BLUE SHEILD |
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": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1720570914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 NE 131ST CT",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846428",
"telephone_number": "925-813-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9115 SW OLESON RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972236875",
"telephone_number": "971-236-0915"
}
],
"practiceLocations": [
{
"address_1": "811 San Ramon Valley Blvd",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "CA",
"postal_code": "945264025",
"country_code": "US",
"telephone_number": "925-314-5767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLANTZ",
"first_name": "AMBER",
"middle_name": "DANIELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHEILD",
"identifier": "XEH903730019",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.