Active NPI
Amanda Leigh Rivera, BCBA
- Behavior Analyst
- Gretna, LA
National Provider Identifier
1821631094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 406
- Practice address
- 3202 Mallard LN
Gretna, LA 70056-7795 - Phone
- (916) 397-4045
- Fax
- (504) 814-4472
- NPI assigned
- Oct 21, 2019
- Last updated
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 406 | LA | Primary |
Addresses
Primary practice location
3202 Mallard LN
Gretna, LA 70056-7795
Mailing address
PO Box 1600
Harvey, LA 70059-1600
Phone (504) 517-2894
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | starsconsulting.net |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 406 | LA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Therapies for Autism and Related Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Gretna, LA
- NPI 1104352038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1821631094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1600",
"city": "HARVEY",
"state": "LA",
"postal_code": "700591600",
"telephone_number": "504-517-2894",
"fax_number": "504-814-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 MALLARD LN",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567795",
"telephone_number": "916-397-4045",
"fax_number": "504-814-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "406",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "starsconsulting.net",
"affiliation": "N",
"address_1": "3202 Mallard Ln",
"city": "Gretna",
"state": "LA",
"country_code": "US",
"postal_code": "700567795",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.