Amy Michelle Jamba, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000146 Issued in VA

Practice address

1317 Jamestown Rd
Suite 102-B
Williamsburg, VA 23185-3364

Phone

(310) 940-8853

NPI assigned

Aug 14, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1760614382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 QUARTERPATH RD",
            "address_2": "SUITE 5A-310",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856544",
            "telephone_number": "310-940-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 JAMESTOWN RD",
            "address_2": "SUITE 102-B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853364",
            "telephone_number": "310-940-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMBA",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID- FAMILY PRIORITY, LLC",
            "identifier": "542057784",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Dirk Ivans, DC
• Jasmine Abigail Jacobo Garica
• Michael Jacobson, M.D.
• Matthew Joseph Jaeger, M.D.
• Nancy Jallo, RNC FNP-BC, WHNP-BCI
• James City County Board of Supervisors
• Tehra James, PHARM.D., RPH
• Jamestown Pharmacy Care Center
• Thomas Maxwell Jamison, MD
• Shirley Tatiana Jaraba Pena

• Behavior Analyst in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.