Individual provider Active NPI

Kaleigh Sobezenski, BCBA

  • Behavior Analyst
  • Boston, MA
National Provider Identifier
1003558826
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1137 Issued in MA
Practice address
90 Canal St Ste 400
Boston, MA 02114-2022
Phone
(857) 285-4520
Fax
(646) 859-4440
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1137 MA Primary
Behavior Analyst 103K00000X 1-15-21017 MA

Addresses

Primary practice location

90 Canal St Ste 400
Boston, MA 02114-2022

Mailing address

560 Sylvan Ave Ste 1110
Englewood Cliffs, NJ 07632-3118
Phone (646) 873-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1137MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Steps ABA Ma, LLC Behavior Analyst CurrentSince Apr 17, 2022 Accepting new patients

Locations

90 Canal St
Ste 400
Boston, MA 02114
Phone (857) 285-4520

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1003558826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SYLVAN AVE STE 1110",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323118",
            "telephone_number": "646-873-6600",
            "fax_number": "646-859-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CANAL ST STE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142022",
            "telephone_number": "857-285-4520",
            "fax_number": "646-859-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEZENSKI",
        "first_name": "KALEIGH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1137",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-15-21017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.