Active NPI
Sara Richards, MA, LLP, BCBA, LBA
- Behavior Analyst
- Dearborn, MI
National Provider Identifier
1386045136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11934873
- Practice address
- 4953 Schaefer Rd
Dearborn, MI 48126-3260 - Phone
- (313) 551-5788
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301016357 | MI | |
| Behavior Analyst | 103K00000X | 11934873 | MI | Primary |
Addresses
Primary practice location
4953 Schaefer Rd
Dearborn, MI 48126-3260
Mailing address
4953 Schaefer Rd
Dearborn, MI 48126-3260
Phone (313) 551-5788
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11934873 | MI | MD | Behavioral Analyst |
| 6301016357 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1386045136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4953 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263260",
"telephone_number": "313-551-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4953 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263260",
"telephone_number": "313-551-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "SARA",
"credential": "MA, LLP, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016357",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "11934873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.