Individual provider Active NPI

Jessica Sorvari, BCBA, LBA

  • Behavior Analyst
  • Carrollton, TX
National Provider Identifier
1174183115
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2890 Issued in TX
Practice address
2020 E Hebron Pkwy
Carrollton, TX 75007-1606
Phone
(469) 892-7500
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 2890 TX Primary

Addresses

Primary practice location

2020 E Hebron Pkwy
Carrollton, TX 75007-1606

Mailing address

7212 Sugarplum Dr
Plano, TX 75074-2046
Phone (214) 546-3505

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 103K00000X

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
2890TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Teach Me LLC Behavior Analyst Past Accepting new patients
Therapy & Beyond Medical Management, LLC Past Accepting new patients

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1174183115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 SUGARPLUM DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742046",
            "telephone_number": "214-546-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071606",
            "telephone_number": "469-892-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORVARI",
        "first_name": "JESSICA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "103K00000X",
            "affiliation": "N",
            "address_1": "2020 E Hebron Pkwy",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750071606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.