Active NPI
Amber Nicole Potter, RBT
- Behavior Technician
- Manchester, NH
National Provider Identifier
1760197347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 373 S Willow St Ste 266
Manchester, NH 03103-5751 - Phone
- (315) 877-8080
- NPI assigned
- Jan 18, 2023
- 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 | Primary |
Addresses
Primary practice location
373 S Willow St Ste 266
Manchester, NH 03103-5751
Mailing address
373 S Willow St Ste 266
Manchester, NH 03103-5751
Phone (215) 877-8080
Other practice location 1
813 Bon Ami St
Deridder, LA 70634-5529
Phone (318) 641-0444
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | assistant@louisianaautismcenter.com |
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 |
|---|---|---|---|
| Positive Reinforcement Behavior Therapy, Inc | Current | Accepting new patients | |
| Positive Reinforcement ABA Therapy Inc. | Past | Accepting new patients |
Locations
373 S Willow St
Ste 266
Manchester, NH 03103
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 and National Provider Directory roles.
-
- Behavior Analyst
- Manchester, NH
- NPI 1801425699
-
- Community/Behavioral Health Agency
- Manchester, NH
- NPI 1073959128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1760197347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 S WILLOW ST STE 266",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035751",
"telephone_number": "215-877-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 S WILLOW ST STE 266",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035751",
"telephone_number": "315-877-8080"
}
],
"practiceLocations": [
{
"address_1": "813 Bon Ami St",
"address_purpose": "LOCATION",
"city": "Deridder",
"state": "LA",
"postal_code": "706345529",
"country_code": "US",
"telephone_number": "318-641-0444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTTER",
"first_name": "AMBER",
"middle_name": "NICOLE",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2024-01-18",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "assistant@louisianaautismcenter.com",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "813 Bon Ami St",
"city": "Deridder",
"state": "LA",
"country_code": "US",
"postal_code": "706345529",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.