Active NPI
Amanda St Romain, BCBA
- Behavior Analyst
- Austin, TX
National Provider Identifier
1831592724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1149780
- Practice address
- 1600 Royal Crest Dr
#113
Austin, TX 78741-2603 - Phone
- (318) 240-3575
- NPI assigned
- Oct 6, 2014
- Last updated
- Oct 21, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1149780 | LA | Primary |
Addresses
Primary practice location
1600 Royal Crest Dr
#113
Austin, TX 78741-2603
Mailing address
1600 Royal Crest Dr
#113
Austin, TX 78741-2603
Phone (318) 240-3575
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 |
|---|---|---|---|
| 1149780 | LA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1831592724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 ROYAL CREST DR",
"address_2": "#113",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787412603",
"telephone_number": "318-240-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 ROYAL CREST DR",
"address_2": "#113",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787412603",
"telephone_number": "318-240-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST ROMAIN",
"first_name": "AMANDA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "1149780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
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- St Davids OB Hospitalist PLLC
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- Sallyanne St Jacques
- Elaine St Marie, LPC
- St. Anthony's RX Consulting
- Keridwyn St. Clair
- St. David's Cardiology, PLLC
- St. David's Carenow Urgent Care PLLC
- St. David's Healthcare Partnership, L.P, LLP (St David's Emergency Center-South Lamar, a department of St David's South Austin Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.