Amanda Maria Regensburg

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37291 Issued in NJ

Practice address

1115 Clifton Ave Ste 202
Clifton, NJ 07013-3650

Phone

(973) 210-9040

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Maria Damato Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1982208963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 LYNDHURST AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711812",
            "telephone_number": "602-751-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 CLIFTON AVE STE 202",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133650",
            "telephone_number": "973-210-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGENSBURG",
        "first_name": "AMANDA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-19-37291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DAMATO",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.