Organization Active NPI

Sorella Behavioral Solutions LLC

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1255200481
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SORELLA BEHAVIORAL SOLUTIONS LLC
Practice address
550 W Maryland Ave Unit 105
Phoenix, AZ 85013-1327
Phone
(267) 574-1457
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nikeda Stanback, BCBA
Title
Ceo
Phone
(267) 574-2457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

550 W Maryland Ave Unit 105
Phoenix, AZ 85013-1327

Mailing address

401 SW 1St Ave Apt 2406
Ft Lauderdale, FL 33301-4546
Phone (267) 574-2457

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1255200481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SW 1ST AVE APT 2406",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014546",
            "telephone_number": "267-574-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W MARYLAND AVE UNIT 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131327",
            "telephone_number": "267-574-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORELLA BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "STANBACK",
        "authorized_official_first_name": "NIKEDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-574-2457",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.