Individual provider Active NPI

Amanda Quaile

  • Behavior Analyst
  • Media, PA
National Provider Identifier
1972061521
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH004536 Issued in PA
Practice address
77 W Baltimore Pike Ste 100B
Media, PA 19063-5639
Phone
(610) 572-5520
NPI assigned
Mar 3, 2019
Last updated
Mar 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH004536 PA Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

77 W Baltimore Pike Ste 100B
Media, PA 19063-5639

Mailing address

77 W Baltimore Pike Ste 100B
Media, PA 19063-5639

Other practice location 1

1 Raymond Dr Unit B
Havertown, PA 19083-3100
Phone (610) 572-5520

Other practice location 2

1646 W Chester Pike Ste 4
West Chester, PA 19382-7979
Phone (610) 572-5520

Other identifiers 1

IdentifierTypeStateIssuer
RBT-19-75953OtherBACB REGISTRATION NUMBER

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

State licenses

LicenseStateTypeSpecialty
BH004536PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Related Services LLC Past 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": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1972061521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W BALTIMORE PIKE STE 100B",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W BALTIMORE PIKE STE 100B",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635639",
            "telephone_number": "610-572-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Raymond Dr Unit B",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190833100",
            "country_code": "US",
            "telephone_number": "610-572-5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1646 W Chester Pike Ste 4",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193827979",
            "country_code": "US",
            "telephone_number": "610-572-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAILE",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-03",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004536",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB REGISTRATION NUMBER",
            "identifier": "RBT-19-75953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; 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.