Individual provider Active NPI

Emily Taylor Urban, M.S., BCBA, LBA

  • Behavior Analyst
  • Mesa, AZ
National Provider Identifier
1104402916
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-000627 Issued in AZ
Practice address
4309 E Florian Ave
Mesa, AZ 85206-2798
Phone
(602) 773-5773
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 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 BEH-000627 AZ Primary

Addresses

Primary practice location

4309 E Florian Ave
Mesa, AZ 85206-2798

Mailing address

940 S Canal Dr
Gilbert, AZ 85296-3983
Phone (480) 215-5381

Other practice location 1

5025 E Washington St Ste 212
Phoenix, AZ 85034-7439
Phone (602) 773-5773

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
BEH-000627AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Autism United, Inc. Behavior Analyst CurrentSince Mar 28, 2021 Accepting new patients
Arizona Autism United, Inc. Behavior Analyst PastSince Mar 28, 2021 Accepting new patients

Locations

4309 E Florian Ave
Mesa, AZ 85206
Phone (480) 528-2746

5025 E Washington St
Ste 212
Phoenix, AZ 85034
Phone (602) 773-5773

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1104402916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S CANAL DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963983",
            "telephone_number": "480-215-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 E FLORIAN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062798",
            "telephone_number": "602-773-5773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5025 E Washington St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850347439",
            "country_code": "US",
            "telephone_number": "602-773-5773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBAN",
        "first_name": "EMILY",
        "middle_name": "TAYLOR",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.