Active NPI
Michele Eyanson
- Behavior Analyst
- Chandler, AZ
National Provider Identifier
1053972596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000455
- Practice address
- 2725 S Alma School Rd
Chandler, AZ 85286-4403 - Phone
- (480) 716-6777
- NPI assigned
- Jun 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000455 | AZ | Primary |
Addresses
Primary practice location
2725 S Alma School Rd
Chandler, AZ 85286-4403
Mailing address
5623 S Outrigger Rd
Tempe, AZ 85283-2129
Other names 1
- Michele Clarke
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
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000455 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1053972596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5623 S OUTRIGGER RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852832129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 S ALMA SCHOOL RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852864403",
"telephone_number": "480-716-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYANSON",
"first_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "CLARKE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.