Individual provider Active NPI

Ciera Elizabeth Mauk, MA, BCBA

  • Behavior Analyst
  • Glendale, AZ
National Provider Identifier
1457985335
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-000660 Issued in AZ
Practice address
5859 W Talavi Blvd Ste 180
Glendale, AZ 85306-1873
Phone
(602) 560-2836
Fax
(317) 520-8200
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-40899
Behavior Analyst 103K00000X BEH-000660 AZ Primary

Addresses

Primary practice location

5859 W Talavi Blvd Ste 180
Glendale, AZ 85306-1873

Mailing address

10900 N Scottsdale Rd Ste 501
Scottsdale, AZ 85254-5236
Phone (480) 608-5232

Other practice location 1

10900 N Scottsdale Rd Ste 501
Scottsdale, AZ 85254-5236
Phone (480) 608-5232

Other identifiers 1

IdentifierTypeStateIssuer
1-20-40899OtherBCBA CERTIFICATE

Other names 1

  • Ciera Elizabeth Couldry 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 Arts

State licenses

LicenseStateTypeSpecialty
BEH-000660AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Action Behavior Centers, LLC Behavior Analyst PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 1

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1457985335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD STE 501",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545236",
            "telephone_number": "480-608-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD STE 180",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061873",
            "telephone_number": "602-560-2836",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 N Scottsdale Rd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852545236",
            "country_code": "US",
            "telephone_number": "480-608-5232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUK",
        "first_name": "CIERA",
        "middle_name": "ELIZABETH",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2022-03-04",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-40899",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-20-40899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIERA",
            "last_name": "COULDRY",
            "middle_name": "ELIZABETH",
            "credential": "BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.