Active NPI
Amanda T Nagle, M.S., BCBA, LBA
- Behavior Analyst
- Enterprise, AL
National Provider Identifier
1861911646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2019-046
- Practice address
- 201 W Lee St
Enterprise, AL 36330-2424 - Phone
- (334) 792-5020
- NPI assigned
- Sep 13, 2017
- 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 | 2019-046 | AL | Primary |
Addresses
Primary practice location
201 W Lee St
Enterprise, AL 36330-2424
Mailing address
1980 Forrester Rd
Dothan, AL 36301-9454
Phone (334) 379-9147
Other practice location 1
100 Westside Dr
Dothan, AL 36303-1908
Phone (336) 793-2237
Other practice location 2
256 Honeysuckle Rd Ste 6
Dothan, AL 36305-1168
Phone (334) 379-9147
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 |
|---|---|---|---|
| 2019-046 | AL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Psychology and Therapy Inc | Past | Accepting new patients | |
| Chrysalis, a Home for Girls, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Newton, AL
- NPI 1891808036
-
- Professional Counselor
- Dothan, AL
- NPI 1730431164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861911646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 FORRESTER RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363019454",
"telephone_number": "334-379-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LEE ST",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302424",
"telephone_number": "334-792-5020"
}
],
"practiceLocations": [
{
"address_1": "100 Westside Dr",
"address_purpose": "LOCATION",
"city": "Dothan",
"state": "AL",
"postal_code": "363031908",
"country_code": "US",
"telephone_number": "336-793-2237",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "256 Honeysuckle Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Dothan",
"state": "AL",
"postal_code": "363051168",
"country_code": "US",
"telephone_number": "334-379-9147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGLE",
"first_name": "AMANDA",
"middle_name": "T",
"credential": "M.S., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AL",
"license": "2019-046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.