Individual provider Active NPI

Sarah Chung, MS, LBS

  • Behavior Analyst
  • Dover, DE
National Provider Identifier
1063916757
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH003764 Issued in PA
Practice address
1012 College Rd
Dover, DE 19904-6506
Phone
(484) 681-2170
NPI assigned
Mar 19, 2018
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 BH003764 PA Primary

Addresses

Primary practice location

1012 College Rd
Dover, DE 19904-6506

Mailing address

22 Queen Anne CT
Dover, DE 19901-1510
Phone (302) 353-6674

Other practice location 1

1512 Braken Ave
Wilmington, DE 19808-4399
Phone (302) 353-6674

Other practice location 2

4 Neshaminy Interplex Dr Ste 202
Trevose, PA 19053-6940
Phone (302) 353-6674

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

LicenseStateTypeSpecialty
BH003764PAMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1063916757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 QUEEN ANNE CT",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199011510",
            "telephone_number": "302-353-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 COLLEGE RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046506",
            "telephone_number": "484-681-2170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1512 Braken Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198084399",
            "country_code": "US",
            "telephone_number": "302-353-6674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Neshaminy Interplex Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Trevose",
            "state": "PA",
            "postal_code": "190536940",
            "country_code": "US",
            "telephone_number": "302-353-6674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SARAH",
        "credential": "MS, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.