Amy Anderson, BCBA
Individual provider Active NPI Behavior Analyst · Kahului, HI
NPI 1992215735 · NPPES record last updated Nov 18, 2023
Key facts
- NPI
- 1992215735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BA-700 (HI)
- Practice address
- 335 S Papa Ave
Kahului, HI 96732-1528 - Phone
- (517) 599-9319
- NPI assigned
- Oct 6, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA-700 | HI | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BA-700 | HI | Yes |
Addresses
Primary practice location
335 S Papa Ave
Kahului, HI 96732-1528
Mailing address
235 Auoli Dr # a
Makawao, HI 96768-9315
Phone (517) 599-9319
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.