Active NPI
Amanda Eubanks, BCBA
- Behavior Analyst
- Cornelius, NC
National Provider Identifier
1770056145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-34016
- Practice address
- 19615 Liverpool Pkwy Ste B
Cornelius, NC 28031-4075 - Phone
- (818) 241-6780
- Fax
- (800) 819-7806
- NPI assigned
- Jan 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-18-34016 | NC | Primary |
Addresses
Primary practice location
19615 Liverpool Pkwy Ste B
Cornelius, NC 28031-4075
Mailing address
PO Box 767938
Roswell, GA 30076-7938
Phone (818) 241-6780
Other practice location 1
2919 Breezewood Ave Ste 202
Fayetteville, NC 28303-5283
Phone (910) 484-1711
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 |
|---|---|---|---|
| Autism Learning Partners, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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
- Downey, CA
- NPI 1942537733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1770056145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 767938",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300767938",
"telephone_number": "818-241-6780",
"fax_number": "800-819-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19615 LIVERPOOL PKWY STE B",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314075",
"telephone_number": "818-241-6780",
"fax_number": "800-819-7806"
}
],
"practiceLocations": [
{
"address_1": "2919 Breezewood Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283035283",
"country_code": "US",
"telephone_number": "910-484-1711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUBANKS",
"first_name": "AMANDA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-18-34016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.