Individual provider Active NPI

Richard Lundberg, BCBA

  • Behavior Analyst
  • Glendale, AZ
National Provider Identifier
1225855158
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001656 Issued in AZ
Practice address
13934 N 59TH Ave Ste 160
Glendale, AZ 85306-4168
Phone
(480) 478-0444
Fax
(602) 854-7422
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 001656 AZ Primary

Addresses

Primary practice location

13934 N 59TH Ave Ste 160
Glendale, AZ 85306-4168

Mailing address

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

Other practice location 1

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

Other practice location 2

2820 E Broadway Rd
Mesa, AZ 85204-1703
Phone (480) 478-0444

Other practice location 3

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

Other practice location 4

4801 E McDowell Rd # 175
Phoenix, AZ 85008-7725
Phone (480) 478-0444

Other practice location 5

3303 N 44 th 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

State licenses

LicenseStateTypeSpecialty
001656AZMDBehavioral Analyst

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1225855158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 N 44 TH STREET",
            "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": "13934 N 59TH AVE STE 160",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064168",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422"
        }
    ],
    "practiceLocations": [
        {
            "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": "2820 E Broadway Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852041703",
            "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": "4801 E McDowell Rd # 175",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850087725",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3303 N 44 th 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": "LUNDBERG",
        "first_name": "RICHARD",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "001656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.