Sarah Elizabeth Liberty, BCBA, LBA, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-72387 Issued in TX

Practice address

626 Diana Dr
Converse, TX 78109-1130

Phone

(512) 466-3883

Fax

(866) 936-4614

NPI assigned

Jan 18, 2021

Reactivated

May 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Blossom Center for Children LLC

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1881991990
  NPD (past)
• TLC Kid'S Therapy

  • Occupational Therapist
  • San Antonio, TX
  • NPI 1114164431
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1104416742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 DIANA DR",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091130",
            "telephone_number": "512-466-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 DIANA DR",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091130",
            "telephone_number": "512-466-3883",
            "fax_number": "866-936-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERTY",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "BCBA, LBA, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "deactivation_date": "2024-04-15",
        "reactivation_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-24-72387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Colleen Lawson, LCSW
• Reginald Lawson, LPC, LMFT
• Jane Lee, DMD
• Bianca N Lenzy, NNP
• Rissah Sharon Lewis
• Jeremiah Michael Light
• Jacqueline Segura Loden, LPC
• Lonestar Braces PLLC
• Catherine Rose Barrios Lopez, PHYSICAL THERAPIST
• Tiffany Lopez, ACNPC-AG

• All providers in Converse, TX
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.