Individual provider Active NPI

Sara Dalley

  • Behavior Analyst
  • Highland HTS, OH
National Provider Identifier
1174092654
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
COBA.57 Issued in OH
Practice address
387 Golfview LN
Highland HTS, OH 44143-4416
Phone
(216) 282-1234
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 COBA.57 OH Primary

Addresses

Primary practice location

387 Golfview LN
Highland HTS, OH 44143-4416

Mailing address

387 Golfview LN
Highland HTS, OH 44143-4416
Phone (216) 282-1234

Other names 1

  • Sara Beckrest Former name

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
COBA.57OHMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1174092654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 GOLFVIEW LN",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441434416",
            "telephone_number": "216-282-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 GOLFVIEW LN",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441434416",
            "telephone_number": "216-282-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLEY",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BECKREST",
            "credential": "BCBA; COBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.