Individual provider Active NPI

Elizabeth Amy Pfeiffenberger

  • Behavior Analyst
  • Queen Creek, AZ
National Provider Identifier
1275923427
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16867
Practice address
18521 E Queen Creek Rd Ste 105-627
Queen Creek, AZ 85142-5870
Phone
(480) 361-1025
Fax
(480) 814-7488
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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 1-14-16867 Primary

Addresses

Primary practice location

18521 E Queen Creek Rd Ste 105-627
Queen Creek, AZ 85142-5870

Mailing address

18521 E Queen Creek Rd Ste 105-627
Queen Creek, AZ 85142-5870
Phone (480) 361-1025

Other names 1

  • Elizabeth Amy Starke Former name

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

OrganizationSpecialtyStatusNew patients
Positive ABA Behavior Analyst Past Accepting new patients
Positiveaba Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1275923427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425870",
            "telephone_number": "480-361-1025",
            "fax_number": "480-814-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425870",
            "telephone_number": "480-361-1025",
            "fax_number": "480-814-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFENBERGER",
        "first_name": "ELIZABETH",
        "middle_name": "AMY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-16867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STARKE",
            "middle_name": "AMY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.