Active NPI
Sara Betze, MA, BCBA, LBA
- Behavior Analyst
- Raleigh, NC
National Provider Identifier
1053081323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 807
- Practice address
- 8521 Six Forks Rd Ste 350
Raleigh, NC 27615-5863 - Phone
- (919) 325-0952
- Fax
- (800) 349-8941
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 807 | NC | Primary |
Addresses
Primary practice location
8521 Six Forks Rd Ste 350
Raleigh, NC 27615-5863
Mailing address
8521 Six Forks Rd Ste 350N
Raleigh, NC 27615-5278
Phone (919) 325-0952
Other names 1
- Sara Cunningham
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 807 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1053081323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8521 SIX FORKS RD STE 350N",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155278",
"telephone_number": "919-325-0952",
"fax_number": "800-349-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8521 SIX FORKS RD STE 350",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155863",
"telephone_number": "919-325-0952",
"fax_number": "800-349-8941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETZE",
"first_name": "SARA",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "CUNNINGHAM",
"credential": "MA BCBA LBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.