Amanda Swift, B.C.B.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18373 Issued in CA

Practice address

3180 Imjin Rd Ste 149
Marina, CA 93933-5111

Phone

(831) 786-0600

NPI assigned

Apr 15, 2015

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tucci Learning Solutions, Inc.

  • Community/Behavioral Health Agency
  • Marina, CA
  • NPI 1295918563
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2018.

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1982091013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 SHALLOW WATER RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174495",
            "telephone_number": "973-727-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 IMJIN RD STE 149",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939335111",
            "telephone_number": "831-786-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Palm Valley Blvd",
            "address_2": "#105",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951231040",
            "country_code": "US",
            "telephone_number": "973-727-2334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "AMANDA",
        "credential": "B.C.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-18373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Suh, LCSW-R
• Charles Bret Sullivan, DC
• Erin Sullivan, NP
• Suzie Sullivan, LCSW
• Sun Street Centers
• Amy Thistle Tackett, CCC-SLP
• Momoko Takeda, LMFT
• Lioudmila Tarbox, FNP
• Leah Taylor
• Monique Theaker

• All providers in Marina, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.