Amy Taylor Candrian, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30372 Issued in CA

Practice address

3300 Broadway
Eureka, CA 95501-3809

Phone

(805) 550-0817

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moonstone Behavioral Solutions LLC

  • Behavior Analyst
  • Crescent City, CA
  • NPI 1205707890
  NPD Authorized official

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1740761725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 RAYIPA LN",
            "city": "TRINIDAD",
            "state": "CA",
            "postal_code": "955709617",
            "telephone_number": "805-550-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BROADWAY",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013809",
            "telephone_number": "805-550-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDRIAN",
        "first_name": "AMY",
        "middle_name": "TAYLOR",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-30372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbe A Campbell Williamson
• Erika Campbell, MHRS
• Jeremy Campbell
• Tyler Campbell
• Ragan Camper, FNP
• Julie Canepa
• Canopy Care Transportation
• Carrie Capolupo
• Morgan Anita Cark, DC
• Anne S Carlisle, FNP-C

• Behavior Analyst in Eureka, CA
• Providers in Eureka, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.