Active NPI
Amanda Johnstone, BCBA
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1932583754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18683
- Practice address
- 9445 Farnham St
#104
San Diego, CA 92123-1308 - Phone
- (866) 727-8274
- NPI assigned
- Jul 10, 2015
- 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 | 1-15-18683 | Primary |
Addresses
Primary practice location
9445 Farnham St
#104
San Diego, CA 92123-1308
Mailing address
9445 Farnham St
#104
San Diego, CA 92123-1308
Phone (866) 727-8274
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": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1932583754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9445 FARNHAM ST",
"address_2": "#104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231308",
"telephone_number": "866-727-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9445 FARNHAM ST",
"address_2": "#104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231308",
"telephone_number": "866-727-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTONE",
"first_name": "AMANDA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-18683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.