Individual provider Active NPI

Amanda Scott

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1831865336
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-179828 Issued in FL
Practice address
3880 Colonial Blvd Ste 2
Fort Myers, FL 33966-1062
Phone
(239) 351-0675
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-179828 FL Primary

Addresses

Primary practice location

3880 Colonial Blvd Ste 2
Fort Myers, FL 33966-1062

Mailing address

3880 Colonial Blvd Ste 2
Fort Myers, FL 33966-1062
Phone (239) 351-0675

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

LicenseStateTypeSpecialty
RBT-21-179828FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stone Kids Therapy LLC CurrentSince Sep 12, 2021 Accepting new patients

Locations

3880 Colonial Blvd
Ste 2
Fort Myers, FL 33966
Phone (239) 351-3715

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.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1831865336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 COLONIAL BLVD STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661062",
            "telephone_number": "239-351-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 COLONIAL BLVD STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661062",
            "telephone_number": "239-351-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-179828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.