Individual provider Active NPI

Sarah Anne Duarte, BCBA, LBA

  • Behavior Analyst
  • Chandler, AZ
National Provider Identifier
1104235084
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-000130 Issued in AZ
Practice address
3200 N. Dobson Rd
Ste F-2
Chandler, AZ 85224
Phone
(480) 722-1300
Fax
(480) 422-3824
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-130 AZ
Behavior Analyst 103K00000X BEH-000130 AZ Primary

Addresses

Primary practice location

3200 N. Dobson Rd
Ste F-2
Chandler, AZ 85224

Mailing address

3200 N. Dobson Rd
Ste F-2
Chandler, AZ 85224-9611
Phone (480) 722-1300

Other practice location 1

540 N Saguaro St
Chandler, AZ 85224-4286
Phone (480) 404-0242

Other identifiers 1

IdentifierTypeStateIssuer
272514MedicaidAZ

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

LicenseStateTypeSpecialty
BA-130AZMDBehavioral Analyst
BEH-000130AZMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1104235084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N. DOBSON RD",
            "address_2": "STE F-2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249611",
            "telephone_number": "480-722-1300",
            "fax_number": "480-422-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N. DOBSON RD",
            "address_2": "STE F-2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-722-1300",
            "fax_number": "480-422-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 N Saguaro St",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244286",
            "country_code": "US",
            "telephone_number": "480-404-0242",
            "fax_number": "480-939-3249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-130",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272514",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 5, 2018; 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.