Individual provider Active NPI

Breanne Krakora, BCBA

  • Behavior Analyst
  • Mesa, AZ
National Provider Identifier
1164813143
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-9439 Issued in AZ
Practice address
2820 E Broadway Rd
Mesa, AZ 85204-1703
Phone
(480) 478-0444
Fax
(602) 854-7422
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 1-14-9439 AZ Primary

Addresses

Primary practice location

2820 E Broadway Rd
Mesa, AZ 85204-1703

Mailing address

3303 N 44TH St
Phoenix, AZ 85018
Phone (480) 478-0444

Other practice location 1

13934 N 59th Ave
Glendale, AZ 85306-4167
Phone (480) 478-0444

Other practice location 2

4560 N 19th Ave
Phoenix, AZ 85015-4133
Phone (480) 478-0444

Other practice location 3

19019 Ventura Blvd
Suite 300
Tarzana, CA 91356-3253
Phone (818) 345-2345 ext. 1053

Other practice location 4

4801 E McDowell Rd # 175
Phoenix, AZ 85008-7725
Phone (480) 478-0888

Other practice location 5

140 N Litchfield Rd Ste 104
Goodyear, AZ 85338-1277
Phone (480) 478-0444

Other practice location 6

3303 N 44th Street
Phoenix, AZ 85018
Phone (480) 478-0444

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Autism Center, LLC Behavior Analyst PastSince Oct 12, 2025 Accepting new patients

Organizations & group practices 1

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1164813143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041703",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13934 N 59th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064167",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154133",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19019 Ventura Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563253",
            "country_code": "US",
            "telephone_number": "818-345-2345 x1053",
            "fax_number": "818-758-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 E McDowell Rd # 175",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850087725",
            "country_code": "US",
            "telephone_number": "480-478-0888",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 N Litchfield Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853381277",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3303 N 44th Street",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85018",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKORA",
        "first_name": "BREANNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-14-9439",
            "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 Feb 5, 2026; 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.