Individual provider Active NPI

Sara Mann, BCBA

  • Behavior Analyst
  • Greenville, SC
National Provider Identifier
1487186292
Registry record updated Jan 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25624 Issued in NU
Practice address
2801 Pelham Rd
Greenville, SC 29615-4101
Phone
(440) 382-0547
NPI assigned
Mar 30, 2017
Last updated
Jan 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2023

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 1-17-25624 NU Primary

Addresses

Primary practice location

2801 Pelham Rd
Greenville, SC 29615-4101

Mailing address

2801 Pelham Rd
Greenville, SC 29615-4101
Phone (440) 382-0547

Other practice location 1

1900 Stillwater Dr
Jonesboro, AR 72404-9119
Phone (440) 382-0547

Other practice location 2

620 N Robinson Dr
Robinson, TX 76706-5312
Phone (254) 732-2262

Other practice location 3

620 N Robinson Dr
Robinson, TX 76706-5312
Phone (254) 732-2262

Other practice location 4

21505 N 78th Ave Ste 125
Peoria, AZ 85382
Phone (602) 535-8341

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

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1487186292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154101",
            "telephone_number": "440-382-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154101",
            "telephone_number": "440-382-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Stillwater Dr",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724049119",
            "country_code": "US",
            "telephone_number": "440-382-0547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Robinson Dr",
            "address_purpose": "LOCATION",
            "city": "Robinson",
            "state": "TX",
            "postal_code": "767065312",
            "country_code": "US",
            "telephone_number": "254-732-2262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Robinson Dr",
            "address_purpose": "LOCATION",
            "city": "Robinson",
            "state": "TX",
            "postal_code": "767065312",
            "country_code": "US",
            "telephone_number": "254-732-2262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21505 N 78th Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "85382",
            "country_code": "US",
            "telephone_number": "602-535-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "SARA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-17-25624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2023; 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.