Active NPI
Michelle Eaton, LBA, BCBA
- Behavior Analyst
- Glendale, AZ
National Provider Identifier
1104326305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33607
- Practice address
- 9208 N 43Rd Ave
Glendale, AZ 85302-3852 - Phone
- (602) 842-7218
- NPI assigned
- Feb 14, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-02833 | CA | |
| Behavior Technician | 106S00000X | 00001169 | CA | |
| Behavior Analyst | 103K00000X | 1-18-33607 | CA | Primary |
Addresses
Primary practice location
9208 N 43Rd Ave
Glendale, AZ 85302-3852
Mailing address
9208 N 43Rd Ave
Glendale, AZ 85302-3852
Phone (602) 842-7218
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 |
|---|---|---|---|
| 00001169 | CA | MD | Behavior Technician |
| RBT-15-02833 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1104326305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9208 N 43RD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023852",
"telephone_number": "602-842-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9208 N 43RD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023852",
"telephone_number": "602-842-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "MICHELLE",
"credential": "LBA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-15-02833",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "00001169",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-18-33607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.