Amberly Nicole Raider, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-57891 Issued in IN

Practice address

811 Northgate Blvd
New Albany, IN 47150-6419

Phone

(502) 409-7181

Fax

(888) 450-0935

NPI assigned

Feb 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amberly Nicoleeee Jarvis Former name

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.

• Behavior Analysts of Texas, LLC

  dba Cba

  • Behavior Analyst
  • Louisville, KY
  • NPI 1922336924
  NPD (past)
• Clinical Behavior Analysis

  • Behavior Analyst
  • Louisville, KY
  • NPI 1821543141
  NPD (past)

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1821743717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152472",
            "telephone_number": "502-409-7181",
            "fax_number": "888-450-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NORTHGATE BLVD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506419",
            "telephone_number": "502-409-7181",
            "fax_number": "888-450-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIDER",
        "first_name": "AMBERLY",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-22-57891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBERLY",
            "last_name": "JARVIS",
            "middle_name": "NICOLEEEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Empson Raderer, ARNP
• Rae Counseling and Wellness
• Martin Raff, MD
• Brandi Rose Ragsdale, APRN
• Shiraaz Ikram Rahman, MD
• Natasha Elizabeth Railton, MS, RD, LD
• Breeann Rainbolt
• Elisha Reene Rainbolt, C.N.A
• Ashlee Rajala, AUD
• Angela Ramsey Robinson, M.A., A.T.R.-BC LPAT

• Behavior Analyst in New Albany, IN
• Providers in New Albany, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.