Amanda Carletha Comage-Trower, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-5058-152124 Issued in IN

Practice address

3215 W Ray Rd
Chandler, AZ 85226-2425

Phone

(623) 707-7209

NPI assigned

Jul 10, 2020

Last updated

Jul 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Lavalle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1942828462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 W RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262425",
            "telephone_number": "623-707-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 W RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262425",
            "telephone_number": "623-707-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMAGE-TROWER",
        "first_name": "AMANDA",
        "middle_name": "CARLETHA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-19-5058-152124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LAVALLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Technician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Behavior Technician in Arizona

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

Verify at the official NPI Registry.