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Amber Phillips

Behavior Analyst β€’ Rome, GA

Active NPI 1073088126 Individual Practitioner Female Practitioner
Practice location in NPPES

475 Watters St Ne
Rome, GA 301615487

Call 7703393475 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

475 Watters St Ne

Rome, GA 301615487

Telephone 7703393475
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Cedartown, GA; Kennesaw, GA. 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

2018

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 Rome and Georgia

24 active clinicians are listed under Behavior Analyst with a practice address in Rome, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rome

0% of these 24 clinicians have the CMS telehealth indicator.

0% of these 24 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: 2026-05-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES GA LBA000356

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: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

420 S College St

Cedartown, GA 301253406

Phone: 7703393475

2110 Moon Station Dr Nw

Kennesaw, GA 301442759

Phone: 7703393475

Career & Practice History Timeline

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

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2026

Behavior Analyst (license number reported to NPPES: GA LBA000356)

πŸ“
Updated Practice Location June 24, 2025

Registered at 475 WATTERS ST NE, ROME, GA 301615487 (Tel: 7703393475)

πŸ“
Updated Business Mailing Address June 24, 2025

Registered at 475 WATTERS ST NE, ROME, GA 301615487

πŸ‘€
Provider Name / Credentials Updated June 24, 2025

Recorded as AMBER PHILLIPS

πŸ“
Updated Practice Location July 13, 2020

Registered at 1818 KINGSTON HWY SE, ROME, GA 301617504 (Tel: 7706276627)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Behavior Analyst (license number reported to NPPES: GA 1-20-43230)

βœ…
NPI Profile Active October 04, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2018

Registered at 603 TURNER MCCALL BLVD NE, ROME, GA 301655627 (Tel: 7706276627)

πŸ“
Business Mailing Address (Initial Record) October 04, 2018

Registered at 2933 CHEROKEE ST NW, KENNESAW, GA 301442884

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2018

Recorded as AMBER CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2018

Assistant Behavior Analyst

🟒
Initial NPI Registration & Enumeration October 04, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073088126
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2018
Last Update: May 13, 2026
Sole Proprietor: No

Mailing Address

475 Watters St Ne

Rome, GA 301615487

Phone: 7703393475

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.