Active NPI
Sabrina M Douglass
- Behavior Technician
- Indianola, IA
National Provider Identifier
1467349340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-473315
- Practice address
- 16018 90TH Ave
Indianola, IA 50125-7207 - Phone
- (515) 335-8177
- NPI assigned
- Jun 23, 2025
- Last updated
- Feb 27, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-473315 | IA | Primary |
Addresses
Primary practice location
16018 90TH Ave
Indianola, IA 50125-7207
Mailing address
16018 90TH Ave
Indianola, IA 50125-7207
Phone (515) 335-8177
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-473315 | IA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KP Enterprises Iowa | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Axis ABA Therapy and Support Services
- Multi-Specialty Clinic/Center
- Ankeny, IA
- NPI 1518478684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1467349340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16018 90TH AVE",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501257207",
"telephone_number": "515-335-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16018 90TH AVE",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501257207",
"telephone_number": "515-335-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLASS",
"first_name": "SABRINA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-23",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IA",
"license": "RBT-25-473315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.