Individual provider Active NPI

Sarah Stuparits, MS, BCBA

  • Behavior Analyst
  • Pleasant Prairie, WI
National Provider Identifier
1407406184
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1297140 Issued in WI
Practice address
10450 72ND Ave
Pleasant Prairie, WI 53158-2911
Phone
(262) 657-6453
Fax
(262) 671-5013
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1297140 WI Primary

Addresses

Primary practice location

10450 72ND Ave
Pleasant Prairie, WI 53158-2911

Mailing address

10450 72ND Ave
Pleasant Prairie, WI 53158-2911
Phone (262) 657-6453

Other identifiers 1

IdentifierTypeStateIssuer
100236816MedicaidWI

Other names 1

  • Sarah Daniels 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 Science

State licenses

LicenseStateTypeSpecialty
1297140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Early Autism Project, Inc. Behavior Analyst PastSince Sep 1, 2019 Accepting new patients
Sonnenberg Consultants LLC 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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1407406184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 72ND AVE",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531582911",
            "telephone_number": "262-657-6453",
            "fax_number": "262-671-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 72ND AVE",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531582911",
            "telephone_number": "262-657-6453",
            "fax_number": "262-671-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPARITS",
        "first_name": "SARAH",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1297140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236816",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DANIELS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.