Individual provider Active NPI

Korina Maestas, M.ED, BCBA, LBA

  • Behavior Analyst
  • Flagstaff, AZ
National Provider Identifier
1295249464
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25608 Issued in AZ
Practice address
5200 E Cortland Blvd Ste A21
Flagstaff, AZ 86004-9394
Phone
(928) 275-1339
Fax
(928) 222-1339
NPI assigned
Nov 27, 2017
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 1-17-25608 AZ Primary

Addresses

Primary practice location

5200 E Cortland Blvd Ste A21
Flagstaff, AZ 86004-9394

Mailing address

6575 E Vail Dr
Flagstaff, AZ 86004-7161
Phone (765) 586-2723

Other names 1

  • Korina Callahan 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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Kaibab Behavioral Services, PLLC Behavior Analyst Current Accepting new patients

Locations

2323 E Greenlaw Ln
Ste 12A
Flagstaff, AZ 86004
Phone (928) 275-1339

5200 E Cortland Blvd
Ste A21
Flagstaff, AZ 86004
Phone (928) 275-1339

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.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1295249464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 E VAIL DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047161",
            "telephone_number": "765-586-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 E CORTLAND BLVD STE A21",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860049394",
            "telephone_number": "928-275-1339",
            "fax_number": "928-222-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTAS",
        "first_name": "KORINA",
        "credential": "M.ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-17-25608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORINA",
            "last_name": "CALLAHAN",
            "credential": "M.ED, BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.