Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Amanda Reane Johnson , MD

Behavior Analyst β€’ Mesa, AZ

Active NPI 1184209298 Individual Practitioner Female Practitioner
Practice location in NPPES

544 S 96th Pl
Mesa, AZ 852082512

Call 4806960338 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

544 S 96th Pl

Mesa, AZ 852082512

Telephone 4806960338
Organization at the Same NPPES Address or Phone
Teen Out Reach Services Facility NPI 1982289062

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Boston, MA; Charlottesville, VA; Kansas City, MO and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

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 Mesa and Arizona

158 active clinicians are listed under Behavior Analyst with a practice address in Mesa, AZ (1,775 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

0% of these 158 clinicians have the CMS telehealth indicator.

0% of these 158 clinicians are listed by CMS as accepting Medicare assignment.

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: 2021-06-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES AZ 1063923340

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES DC 1063923340

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.

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: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1003008277 (AZ)
Medicaid ID
103K00000X (AZ)
Other Identifier Behavioral Analysis
1063923340

Secondary Practice Locations

4600 N Wyandotte St

Kansas City, MO 641161518

Phone: 4806960338

401 E High St

Charlottesville, VA 229025119

Phone: 4806960338

546 S Country Club Dr Apt 2080

Mesa, AZ 852104101

Phone: 4806960338

1 Ashburton Pl

Boston, MA 021081518

Phone: 4806960338

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Business Mailing Address June 03, 2021

Registered at 544 S 96TH PL, MESA, AZ 852082512 (Tel: 6232725449)

βœ…
NPI Profile Active March 14, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 14, 2021

Registered at 544 S 96TH PL, MESA, AZ 852082512 (Tel: 4806960338)

πŸ“
Business Mailing Address (Initial Record) March 14, 2021

Registered at 544 S 96TH PL APT 2080, MESA, AZ 852082512 (Tel: 4806960338)

πŸ‘€
Provider Name / Credentials (Initial Record) March 14, 2021

Recorded as AMANDA JOHNSON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2021

Behavior Analyst (license number reported to NPPES: DC 1063923340)

🟒
Initial NPI Registration & Enumeration March 10, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1184209298
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2021
Last Update: June 03, 2021
Sole Proprietor: No

Mailing Address

544 S 96th Pl

Mesa, AZ 852082512

Phone: 6232725449

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.