Individual provider Active NPI

Chasity Star Sezate

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1437650983
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-0322 Issued in AZ
Practice address
11221 N 28TH Dr BLDG E
Phoenix, AZ 85029-5615
Phone
(480) 349-7117
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-0322 AZ Primary

Addresses

Primary practice location

11221 N 28TH Dr BLDG E
Phoenix, AZ 85029-5615

Mailing address

11375 E Sahuaro Dr Apt 1020
Scottsdale, AZ 85259-4065
Phone (602) 527-0761

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

State licenses

LicenseStateTypeSpecialty
BA-0322AZMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1437650983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11375 E SAHUARO DR APT 1020",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594065",
            "telephone_number": "602-527-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 N 28TH DR BLDG E",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295615",
            "telephone_number": "480-349-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEZATE",
        "first_name": "CHASITY",
        "middle_name": "STAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-0322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.