Individual provider Active NPI

Kumiko Sato-Davis

  • Behavior Analyst
  • Frisco, TX
National Provider Identifier
1093471377
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-54963 Issued in CO
Practice address
8720 Main St
Frisco, TX 75033-3079
Phone
(469) 803-5655
Fax
(855) 549-4848
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 1-21-54963 CO Primary

Addresses

Primary practice location

8720 Main St
Frisco, TX 75033-3079

Mailing address

8720 Main St
Frisco, TX 75033-3079
Phone (469) 803-5655

Other identifiers 1

IdentifierTypeStateIssuer
BACB514160OtherBACB

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address success@thechildspath.com

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

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1093471377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 MAIN ST",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333079",
            "telephone_number": "469-803-5655",
            "fax_number": "855-549-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 MAIN ST",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333079",
            "telephone_number": "469-803-5655",
            "fax_number": "855-549-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATO-DAVIS",
        "first_name": "KUMIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-21-54963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "BACB514160",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "success@thechildspath.com",
            "affiliation": "N",
            "address_1": "8720 Main St",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750333079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.