Amanda Pegler

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT21192952 Issued in CA

Practice address

3065 Rosecrans PL Ste 200
San Diego, CA 92110-4822

Phone

(619) 955-5775

NPI assigned

Mar 29, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Progressive Behavior Services

  • Developmental - Behavioral Pediatrics Physician
  • San Diego, CA
  • NPI 1578299897

  Behavior Technician

  NPD

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1881334969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W VENTURA BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109137",
            "telephone_number": "805-383-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 ROSECRANS PL STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104822",
            "telephone_number": "619-955-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGLER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT21192952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Peet
• Joann Peevler
• Joshua Ryan Pegel, DMD
• Terence B Pegel, TERENCE PEGEL D.D.S.
• Janelle Donahue Pegg, M.D.
• Darion Pegues
• Megan Pehl
• Hakan Cem Pehlivan, M.D.
• Gina Peil
• Julia Valerie Peinado, MPT

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.