Active NPI
Amberley Heins, MS., BCBA
- Behavior Analyst
- Clarksville, TN
National Provider Identifier
1841792991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 567
- Practice address
- 3441 Fort Campbell Blvd Ste F3
Clarksville, TN 37042-6684 - Phone
- (931) 449-0063
- NPI assigned
- Mar 5, 2018
- Last updated
- Feb 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 567 | TN | Primary |
| Behavior Technician | 106S00000X | RBT-17-35980 | TN |
Addresses
Primary practice location
3441 Fort Campbell Blvd Ste F3
Clarksville, TN 37042-6684
Mailing address
3441 Fort Campbell Blvd Ste F3
Clarksville, TN 37042-6684
Phone (931) 449-0063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-17-35980 | Other | TN | BACB |
| 1-19-38786 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD (BACB) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-35980 | TN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavior Consultants | 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
- Clarksville, TN
- NPI 1134410905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1841792991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3441 FORT CAMPBELL BLVD STE F3",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370426684",
"telephone_number": "931-449-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3441 FORT CAMPBELL BLVD STE F3",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370426684",
"telephone_number": "931-449-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINS",
"first_name": "AMBERLEY",
"credential": "MS., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "567",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "RBT-17-35980",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-17-35980",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)",
"identifier": "1-19-38786",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.