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Amanda Champion , BCBA

Behavior Analyst β€’ Jacksonville, FL

Active NPI 1275983033 Individual Practitioner Female Practitioner
Practice location in NPPES

12276 San Jose Blvd
Jacksonville, FL 322238628

Call 9046378650 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

12276 San Jose Blvd

Jacksonville, FL 322238628

Telephone 9046378650
Organization at the Same NPPES Address or Phone
Play Works Therapies, P.a. Facility NPI 1043257678

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

NPI first issued

2016

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 Jacksonville and Florida

487 active clinicians are listed under Behavior Analyst with a practice address in Jacksonville, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 487 clinicians have the CMS telehealth indicator.

0% of these 487 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: 2022-08-11
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

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

7 listed
Sasha Bradley

Physical Therapist

NPI 1982310736
Lisa Cordell , ARNP

Clinical Nurse Specialist - Family Health

NPI 1851600308

Advanced Registered Nurse Practitioner

Dr. Luna Khadour , MD

Family Medicine

NPI 1114925922

Doctor of Medicine (M.D.)

Margaret Mosher , APRN

Nurse Practitioner - Family

NPI 1184050577

Advanced Practice Registered Nurse

Leslie Newmeyer , MED, CCC-A

Audiologist-Hearing Aid Fitter

NPI 1174621163

Master of Education, CCCA

NPI 1972874410

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location July 14, 2023

Registered at 12276 SAN JOSE BLVD, JACKSONVILLE, FL 322238628 (Tel: 9046378650)

πŸ“
Updated Business Mailing Address July 14, 2023

Registered at 12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 322238618 (Tel: 9046378650)

πŸ“
Updated Practice Location August 11, 2022

Registered at 1450 54TH ST, COLUMBUS, GA 319044476 (Tel: 4705925461)

πŸ“
Updated Business Mailing Address August 11, 2022

Registered at 10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 322566755 (Tel: 9045380713)

πŸ‘€
Provider Name / Credentials Updated August 11, 2022

Recorded as AMANDA CHAMPION, BCBA

βœ…
NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 13, 2016

Registered at 10175 FORTUNE PKWY, STE. 903, JACKSONVILLE, FL 322566746 (Tel: 9045380713)

πŸ“
Business Mailing Address (Initial Record) June 13, 2016

Registered at 10175 FORTUNE PKWY, STE. 903, JACKSONVILLE, FL 322566746 (Tel: 9045380713)

πŸ‘€
Provider Name / Credentials (Initial Record) June 13, 2016

Recorded as AMANDA CHAMPION, QASP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration June 13, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275983033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2016
Last Update: July 14, 2023
Sole Proprietor: No

Mailing Address

12276 San Jose Blvd Ste 508

Jacksonville, FL 322238618

Phone: 9046378650

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.