Active NPI
Alesha Ann Kimbrell, MS, BCBA, LBA
- Behavior Analyst
- Peoria, AZ
National Provider Identifier
1043927353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001039
- Practice address
- 25615 N 131St Dr
Peoria, AZ 85383-3501 - Phone
- (480) 980-1124
- NPI assigned
- Nov 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-61362 | AZ | |
| Behavior Analyst | 103K00000X | BEH-001039 | AZ | Primary |
Addresses
Primary practice location
25615 N 131St Dr
Peoria, AZ 85383-3501
Mailing address
3104 E Camelback Rd Ste 2969
Phoenix, AZ 85016-4502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-22-61362 | Other | BACB CERTIFICATION | |
| BEH-001039 | Other | AZ | STATE OF ARIZONA BOARD OF PSYCHOLOGIST EXAMINERS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001039 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1043927353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 E CAMELBACK RD STE 2969",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25615 N 131ST DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853833501",
"telephone_number": "480-980-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRELL",
"first_name": "ALESHA",
"middle_name": "ANN",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "1-22-61362",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB CERTIFICATION",
"identifier": "1-22-61362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ARIZONA BOARD OF PSYCHOLOGIST EXAMINERS",
"identifier": "BEH-001039",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.