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Amy Ogundare

Assistant Behavior Analyst β€’ Elizabeth City, NC

Active NPI 1578158366 Individual Practitioner Female Practitioner
Practice location in NPPES

2158 Eleuthera Way
Elizabeth City, NC 279096673

Call 3024705373 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

2158 Eleuthera Way

Elizabeth City, NC 279096673

Telephone 3024705373

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 Elizabeth City and North Carolina

2 active clinicians are listed under Assistant Behavior Analyst with a practice address in Elizabeth City, NC (208 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.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: 2025-01-29
Assistant Behavior Analyst Primary Specialty

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: North Carolina Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location January 29, 2025

Registered at 2158 ELEUTHERA WAY, ELIZABETH CITY, NC 279096673 (Tel: 3024705373)

πŸ“
Updated Business Mailing Address January 29, 2025

Registered at 2158 ELEUTHERA WAY, ELIZABETH CITY, NC 279096673 (Tel: 3024705373)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2025

Assistant Behavior Analyst

βœ…
NPI Profile Active March 04, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 04, 2021

Registered at 629 PHOENIX DR STE 150, VIRGINIA BEACH, VA 234527341 (Tel: 7578370761)

πŸ“
Business Mailing Address (Initial Record) March 04, 2021

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

πŸ‘€
Provider Name / Credentials (Initial Record) March 04, 2021

Recorded as AMY OGUNDARE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2021

Behavior Technician (license number reported to NPPES: VA 00014947)

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Initial NPI Registration & Enumeration March 04, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578158366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2021
Last Update: January 29, 2025
Sole Proprietor: No

Mailing Address

2158 Eleuthera Way

Elizabeth City, NC 279096673

Phone: 3024705373

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.