Active NPI
Robert Crippen, BCBA, LBA
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1255865044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 275
- Practice address
- 13838 S 46TH PL Ste 120
Phoenix, AZ 85044-7801 - Phone
- (480) 550-9396
- Fax
- (480) 716-8949
- NPI assigned
- Apr 18, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 275 | AZ | Primary |
Addresses
Primary practice location
13838 S 46TH PL Ste 120
Phoenix, AZ 85044-7801
Mailing address
390 Union Blvd Ste 300
Lakewood, CO 80228-6514
Phone (303) 989-8169
Other practice location 1
15648 N 35th Ave
Phoenix, AZ 85053-3818
Phone (602) 571-7293
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 |
|---|---|---|---|
| 275 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1255865044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 UNION BLVD STE 300",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802286514",
"telephone_number": "303-989-8169",
"fax_number": "303-984-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13838 S 46TH PL STE 120",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850447801",
"telephone_number": "480-550-9396",
"fax_number": "480-716-8949"
}
],
"practiceLocations": [
{
"address_1": "15648 N 35th Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850533818",
"country_code": "US",
"telephone_number": "602-571-7293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRIPPEN",
"first_name": "ROBERT",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-18",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "275",
"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 Oct 18, 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.