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Amanda Gillette , BCBA

Behavior Analyst β€’ Wasilla, AK

Active NPI 1134669344 Individual Practitioner Female Practitioner
Practice location in NPPES

3543 E Meridian Park Loop Ste C
Wasilla, AK 996547294

Call 9078640099 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3543 E Meridian Park Loop Ste C

Wasilla, AK 996547294

Telephone 9078640099
Fax 9078640093

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Wasilla and Alaska

9 active clinicians are listed under Behavior Analyst with a practice address in Wasilla, AK (121 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES None 191658

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Lba
191658 (AK)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Alyssa Creasy

Physical Therapist

NPI 1295571750

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 29, 2022

Registered at 3543 E MERIDIAN PARK LOOP STE C, WASILLA, AK 996547294 (Tel: 9078640099)

πŸ“
Updated Business Mailing Address August 29, 2022

Registered at 3543 E MERIDIAN PARK LOOP STE C, WASILLA, AK 996547294 (Tel: 9078640099)

πŸ‘€
Provider Name / Credentials Updated September 26, 2018

Recorded as AMANDA GILLETTE, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Assistant Behavior Analyst

βœ…
NPI Profile Active March 07, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 07, 2017

Registered at 10620 TREENA ST, SAN DIEGO, CA 921311140 (Tel: 8019354171)

πŸ“
Business Mailing Address (Initial Record) March 07, 2017

Registered at 515 S 700 E STE 2A, SLC, UT 841022855 (Tel: 8019354171)

πŸ‘€
Provider Name / Credentials (Initial Record) March 07, 2017

Recorded as AMANDA GILLETTE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2017

Behavior Technician

🟒
Initial NPI Registration & Enumeration March 07, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134669344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2017
Last Update: April 14, 2026
Sole Proprietor: No

Mailing Address

3543 E Meridian Park Loop Ste C

Wasilla, AK 996547294

Phone: 9078640099

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.