Active NPI
Guy Merrick Mickens, MS, BCBA, LBA
- Behavior Analyst
- Tempe, AZ
National Provider Identifier
1407625502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001334
- Practice address
- 8915 S Harl Ave
Tempe, AZ 85284-1030 - Phone
- (480) 672-0536
- Fax
- (317) 520-8200
- NPI assigned
- Dec 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-001334 | AZ | Primary |
Addresses
Primary practice location
8915 S Harl Ave
Tempe, AZ 85284-1030
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
1711 W Greentree Dr Ste 111
Tempe, AZ 85284
Phone (623) 263-3966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-23-66705 | Other | BCBA CERTIFICATE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001334 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
| Soar Health, Inc. | Behavior Analyst | Past | Accepting new patients |
| Action Behavior Centers, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Austin, TX
- NPI 1841654050
-
- Behavior Analyst
- Denver, CO
- NPI 1437751252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748131200000",
"number": "1407625502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 S HARL AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841030",
"telephone_number": "480-672-0536",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "1711 W Greentree Dr Ste 111",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "85284",
"country_code": "US",
"telephone_number": "623-263-3966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICKENS",
"first_name": "GUY",
"middle_name": "MERRICK",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-29",
"last_updated": "2025-05-25",
"certification_date": "2025-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-23-66705",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.