Active NPI
Amanda Cross, MS, BCBA, LBA
- Behavior Analyst
- Dickinson, ND
National Provider Identifier
1922688191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L70
- Practice address
- 870 Pheasant Run Ave
Dickinson, ND 58601-6536 - Phone
- (701) 765-3064
- Fax
- (701) 483-3889
- NPI assigned
- Apr 12, 2021
- Last updated
- Apr 12, 2021
- 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 | L70 | ND | Primary |
Addresses
Primary practice location
870 Pheasant Run Ave
Dickinson, ND 58601-6536
Mailing address
870 Pheasant Run Ave
Dickinson, ND 58601-6536
Phone (701) 765-3064
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 |
|---|---|---|---|
| L70 | ND | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonderment Therapies PLLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1922688191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 PHEASANT RUN AVE",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586016536",
"telephone_number": "701-765-3064",
"fax_number": "701-483-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 PHEASANT RUN AVE",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586016536",
"telephone_number": "701-765-3064",
"fax_number": "701-483-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "AMANDA",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-12",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "ND",
"license": "L70",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.