Organization Active NPI

Las Raices LLC

  • Behavior Analyst
  • Surprise, AZ
National Provider Identifier
1336029677
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LAS RAICES LLC
Practice address
10738 N 184TH Dr
Surprise, AZ 85388-2308
Phone
(602) 209-4965
Fax
(386) 703-1162
NPI assigned
Sep 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Mrs. Pauline Crystal BrownNPI 1497239107
Title
Bcba
Phone
(480) 865-9506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10738 N 184TH Dr
Surprise, AZ 85388-2308

Mailing address

10738 N 184TH Dr
Surprise, AZ 85388-2308
Phone (602) 209-4965

National Provider Directory

National Provider Directory

Locations

4524 N Maryvale Pkwy
Ste 280
Phoenix, AZ 85031
Phone (480) 865-9506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1336029677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 N 184TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882308",
            "telephone_number": "602-209-4965",
            "fax_number": "386-703-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10738 N 184TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882308",
            "telephone_number": "602-209-4965",
            "fax_number": "386-703-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS RAICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "480-865-9506",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.