Amanda Ralph, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

83 Pine St Ste 102
Peabody, MA 01960-3635

Phone

(978) 717-5062

NPI assigned

Sep 1, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Recreational Education Center, LLC

  • Community/Behavioral Health Agency
  • Peabody, MA
  • NPI 1215296603
  NPD (past)

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1982372272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BUXTON CT",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103508",
            "telephone_number": "978-395-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PINE ST STE 102",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603635",
            "telephone_number": "978-717-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALPH",
        "first_name": "AMANDA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith William Rae, D.M.D., M.D.
• Rainbow Adult Day Center Inc
• Kamyar Raiss Giglou
• Mark D Raizin, M.D.
• Jean Rakip
• Meera Lakshmi Ram, DMD
• Haylee Ramos
• Sharon Jessamin Ramos, RBT
• Tania Leigh Ramos, LMFT
• Daniel Carl Randall, MD

• All providers in Peabody, MA
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.