Active NPI
Amanda Heath
- Behavior Technician
- Camarillo, CA
National Provider Identifier
1922564152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 400 W Ventura Blvd
Camarillo, CA 93010-9137 - Phone
- (801) 316-3564
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Primary | ||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
400 W Ventura Blvd
Camarillo, CA 93010-9137
Mailing address
3715 Summershore LN
Westlake Village, CA 91361-4220
Other practice location 1
2 Padre Pkwy Ste 101
Rohnert Park, CA 94928-2114
Phone (707) 553-1784
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1922564152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 SUMMERSHORE LN",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913614220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W VENTURA BLVD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930109137",
"telephone_number": "801-316-3564"
}
],
"practiceLocations": [
{
"address_1": "2 Padre Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Rohnert Park",
"state": "CA",
"postal_code": "949282114",
"country_code": "US",
"telephone_number": "707-553-1784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEATH",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.