Individual provider Active NPI

Jacob Boney, PSY.D., BCBA-D

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1013341395
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-91 Issued in AZ
Practice address
10251 N 35TH Ave
Phoenix, AZ 85051-1305
Phone
(602) 926-7200
NPI assigned
Aug 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-91 AZ Primary

Addresses

Primary practice location

10251 N 35TH Ave
Phoenix, AZ 85051-1305

Mailing address

2155 S 55TH St
Apt 3011
Tempe, AZ 85282-2039
Phone (602) 926-7200

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
BA-91AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Pediatric Behavioral Services PLLC Behavior Analyst Past Accepting new patients

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1013341395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 S 55TH ST",
            "address_2": "APT 3011",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822039",
            "telephone_number": "602-926-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511305",
            "telephone_number": "602-926-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONEY",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCBA-D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-91",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.