Individual provider · Type 1 NPI

Amanda Lane Roberts

Assistant Behavior Analyst · San Diego, CA

NPI number 1215890306 Active

Practice location

501 W Broadway, Suite 800
San Diego, CA 92101-3546

Mailing address

4172 Horvath St Unit 108
Corona, CA 92883-4463

Other practice locations

  • 4172 Horvath St Unit 108, Corona, CA 92883-4463 · (714) 402-1976

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XNone listed

Assistant Behavior Analyst: 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 …

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About NPI 1215890306

Amanda Lane Roberts's National Provider Identifier is 1215890306, issued on Dec 5, 2025. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in San Diego, CA. The record was last updated on Jan 5, 2026.