Active NPI
Sarah Sam
- Behavior Technician
- Phoenix, AZ
National Provider Identifier
1265949143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4530 E Muirwood Dr Ste 103
Phoenix, AZ 85048 - Phone
- (480) 610-6981
- Fax
- (480) 898-7419
- NPI assigned
- Jan 2, 2018
- Last updated
- Aug 7, 2018
- 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 Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
4530 E Muirwood Dr Ste 103
Phoenix, AZ 85048
Mailing address
4530 E Muirwood Dr Ste 103
Phoenix, AZ 85048-7693
Phone (480) 610-6981
Other practice location 1
428 E Thunderbird Rd Ste 138
Phoenix, AZ 85022-5229
Phone (888) 362-3970
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red House Behavior Resources, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- San Francisco, CA
- NPI 1962838409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1265949143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487693",
"telephone_number": "480-610-6981",
"fax_number": "480-898-7419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85048",
"telephone_number": "480-610-6981",
"fax_number": "480-898-7419"
}
],
"practiceLocations": [
{
"address_1": "428 E Thunderbird Rd Ste 138",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850225229",
"country_code": "US",
"telephone_number": "888-362-3970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAM",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-02",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"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 Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.