Active NPI
Amanda Custer, BCBA
- Behavior Analyst
- Derwood, MD
National Provider Identifier
1831464924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8253
- Practice address
- 7723 Miller Fall Rd
Derwood, MD 20855-1128 - Phone
- (240) 505-0859
- NPI assigned
- Mar 21, 2012
- 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 | 1-11-8253 | Primary |
Addresses
Primary practice location
7723 Miller Fall Rd
Derwood, MD 20855-1128
Mailing address
7723 Miller Fall Rd
Derwood, MD 20855-1128
Phone (240) 505-0859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-11-8253 | Other | BOARD CERTIFIED BEHAVIOR ANALYST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1831464924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7723 MILLER FALL RD",
"city": "DERWOOD",
"state": "MD",
"postal_code": "208551128",
"telephone_number": "240-505-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7723 MILLER FALL RD",
"city": "DERWOOD",
"state": "MD",
"postal_code": "208551128",
"telephone_number": "240-505-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSTER",
"first_name": "AMANDA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-11-8253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
"identifier": "1-11-8253",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Derwood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.