Individual provider Active NPI

Sara Betze, MA, BCBA, LBA

  • Behavior Analyst
  • Raleigh, NC
National Provider Identifier
1053081323
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
807 Issued in NC
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

Updated by the provider on Jun 5, 2024

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 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 Former name

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

LicenseStateTypeSpecialty
807NCMDClinical 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.

Verify at the official NPI Registry.