MRS. AMANDA GAYLE RICKARD (NPI# 1396010906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396010906 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA GAYLE RICKARD |
| Credential | BCBA |
| Practice Address |
102 Elizabeth St Suite C Jacksonville NC 28540-5676 |
| Mailing Address |
102 Elizabeth St. Suite C Jacksonville NC 28540 |
| Practice Telephone | 9103330814 |
| Practice Fax Number | 9103330817 |
| Mailing Telephone | 9103330814 |
| Mailing Fax Number | 9103330817 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-12-1013 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083098974 | Amanda Rickard | Psychologist | 325 S Walnut St, Statesboro, GA 30458-5418 | 2015-07-10 |
| 1427485630 | Amanda Rickard | Counselor | 396 Route 6 and 209, Milford, PA 18337-9490 | 2013-10-02 |
| 1063748077 | Amanda Lorena Rickard | Counselor | 3353 Bradshaw Rd Ste 106, Sacramento, CA 95827-2608 | 2009-10-26 |
| Street Address |
102 ELIZABETH ST SUITE C |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-5676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639615388 | Jennifer Debastiani | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2017-01-18 |
| 1508316589 | Samantha Mcnealy | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2016-10-13 |
| 1437605565 | Kaitlynn Dacey | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2016-08-29 |
| 1932654639 | Lea Crusen | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2016-08-23 |
| 1114384096 | Carianne Walker | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2016-01-22 |
| 1902270150 | Iman Myles | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2015-11-25 |
| 1588037998 | Nicole Corkery | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2015-11-06 |
| 1235510926 | Amanda Gibbons | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2015-06-18 |
| 1699156380 | Brittany Bowers | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2015-06-18 |
| 1609262757 | Angela Ossner | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1265031066 | Johnathon Monson | Behavioral Analyst | 12025 San Jose Blvd Ste 102, Jacksonville, FL 32223-1639 | 2020-10-22 |
| 1336748391 | Emily K Reeves | Behavioral Analyst | 12025 San Jose Blvd Ste 2, Jacksonville, FL 32223-1639 | 2020-10-21 |
| 1275146912 | Keepsake Learning Behavioral Services | Behavioral Analyst | 11451 Kabroon Ct, Jacksonville, FL 32246-6920 | 2020-08-24 |
| 1356962518 | Pls Therapy Services | Behavioral Analyst | 13121 Atlantic Blvd Ste 400, Jacksonville, FL 32225-0103 | 2020-04-29 |
| 1184277766 | Jade Greene Bcba LLC | Behavioral Analyst | 5332 Gathering Oaks Ct E, Jacksonville, FL 32258-3420 | 2019-07-22 |
| 1386100667 | Nicole M Cleghorn | Behavioral Analyst | 1264 Nipigon Ave S, Jacksonville, FL 32233-2226 | 2019-02-12 |
| 1548732886 | Courtney Rollings Latham | Behavioral Analyst | 12350 Shore Acres Dr, Jacksonville, FL 32225-5670 | 2018-12-27 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1013482876 | Madison Buehnemann | Behavioral Analyst | 3832 Baymeadows Rd Ste 9, Jacksonville, FL 32217-5605 | 2018-10-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on MRS. AMANDA GAYLE RICKARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.