Andrew Waine Gardner, PH.D., BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4345 Issued in AZ

Practice address

906 W University Ave - Suite #120
Behavioral Consultation Services of Northern Arizona
Flagstaff, AZ 86001-2986

Phone

(928) 522-3780

Fax

(928) 563-0048

NPI assigned

Jan 12, 2009

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• B--Umg Integrated Health Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1043758816
  Medicare reassignment NPD
• Banner-University Medical Group

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508809427
  Medicare reassignment
• Behavioral Consultation Services of Northern Arizona

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1699910877
  Authorized official Same address or phone
• Banner-University Medical Group

  • Nutrition Education Nutritionist
  • Tucson, AZ
  • NPI 1932708328
  NPD

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1851538995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112629",
            "telephone_number": "520-694-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W UNIVERSITY AVE - SUITE #120",
            "address_2": "BEHAVIORAL CONSULTATION SERVICES OF NORTHERN ARIZONA",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012986",
            "telephone_number": "928-522-3780",
            "fax_number": "928-563-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ANDREW",
        "middle_name": "WAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-08-4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly K. Gappa, CRNA
• Joyce Garcia-Gonzalez, CNM
• Helaman Garcia
• Jean MD Garcia, PHARMD
• Yolanda Eve Garcia, PHD
• Catherine Gardner, M.S.
• Lukas Gardner
• Corey Andrew Gargano
• Jake Teichert Garn, DDS
• Alicia Garner, LPC

• Behavior Analyst in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.