Amy Gardill, M.S. BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-63861 Issued in VA

Practice address

1514 Holland Rd Ste 2
Suffolk, VA 23434-6517

Phone

(757) 644-6391

Fax

(757) 622-2011

NPI assigned

Dec 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1902564362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 HOLLAND RD STE 2",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346517",
            "telephone_number": "757-644-6391",
            "fax_number": "757-622-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDILL",
        "first_name": "AMY",
        "credential": "M.S. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-21-177688",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-23-63861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittny Jean Gainey, DSW, LCSW
• Ishan Gandhi, OD
• Mirellie Garcia-Padin, BCBA
• Nicole Garcia, BCABA
• William John Gardella, CRNA
• Gabrielle Elizabeth Gardner, BSN, RN
• Jessica Elena Gardner, M.D.
• Michael Gardner, D.O.
• Tonya D Gardner, LPC
• Daniel Wayne Garland, MD

• Behavior Analyst in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; 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.