Organization Active NPI

Behaviorally LLC

  • Behavior Analyst
  • Fountain Hills, AZ
National Provider Identifier
1336815059
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIORALLY LLC
Practice address
15540 E Chicory Dr
Fountain Hills, AZ 85268-4303
Phone
(480) 309-6633
NPI assigned
Aug 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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

Authorized official

Name
Allyson Perreault, MA, BCBA, LBANPI 1952911174
Title
Owner/Clinical Director
Phone
(480) 309-6633

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

15540 E Chicory Dr
Fountain Hills, AZ 85268-4303

Mailing address

15540 E Chicory Dr
Fountain Hills, AZ 85268-4303

Other identifiers 1

IdentifierTypeStateIssuer
097192MedicaidAZ

National Provider Directory

National Provider Directory

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": "1629590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629590400000",
    "number": "1336815059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15540 E CHICORY DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15540 E CHICORY DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684303",
            "telephone_number": "480-309-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORALLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "PERREAULT",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-309-6633",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097192",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.