Timothy John Sabutis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-21607 Issued in NE

Practice address

945 N Adams St
Papillion, NE 68046-3102

Phone

(402) 916-4539

NPI assigned

Mar 12, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childhood Autism Services Inc

  • Community/Behavioral Health Agency
  • La Vista, NE
  • NPI 1730473117

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1083030217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 GILES RD STE 101",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283017",
            "telephone_number": "402-916-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N ADAMS ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463102",
            "telephone_number": "402-916-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABUTIS",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10207",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NE",
            "license": "1-16-21607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Rupiper, M.D.
• Kalli Ann Rush, DPM
• Robin Rae Rusie
• Ralph William Russell
• Rose M Ryba, OTR/L
• Erika C. Sachau, P.A.-C.
• Lori Safranek
• Olivia M Saitta
• Alexis Yukary Salazar
• Sam'S West, Inc.

• Behavior Analyst in Papillion, NE
• Providers in Papillion, NE by specialty
• Behavior Analyst in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.