Individual provider Active NPI

Sara Analie Keen

  • Behavior Analyst
  • San Francisco, CA
National Provider Identifier
1255735585
Registry record updated Nov 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-34118 Issued in CA
Practice address
795 Folsom St FL 1
San Francisco, CA 94107-4226
Phone
(855) 832-6727
Fax
(772) 675-9100
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 1-18-34118 CA Primary

Addresses

Primary practice location

795 Folsom St FL 1
San Francisco, CA 94107-4226

Mailing address

1113 Eisenhower St
Fairfield, CA 94533-5405
Phone (707) 419-1963

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.teampbs.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1255735585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 EISENHOWER ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335405",
            "telephone_number": "707-419-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 FOLSOM ST FL 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074226",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "SARA",
        "middle_name": "ANALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-34118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.teampbs.com",
            "affiliation": "N",
            "endpointDescription": "secured website for contacting clients, entering data, etc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "795 Folsom St Fl 1",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941074226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.