Active NPI
Sarah Elizabeth Kelley, BCBA, LBA
- Behavior Analyst
- Tucson, AZ
National Provider Identifier
1194485417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000572
- Practice address
- 5055 E Broadway Blvd Ste D201
Tucson, AZ 85711-3625 - Phone
- (602) 888-8882
- NPI assigned
- Dec 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000572 | AZ | Primary |
Addresses
Primary practice location
5055 E Broadway Blvd Ste D201
Tucson, AZ 85711-3625
Mailing address
6247 E Fairmount St
Tucson, AZ 85712-4469
Phone (928) 890-9880
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
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000572 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1194485417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6247 E FAIRMOUNT ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124469",
"telephone_number": "928-890-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 E BROADWAY BLVD STE D201",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113625",
"telephone_number": "602-888-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.