Active NPI
Pauline Crystal Brown, MA, BCBA, LBA
- Behavior Analyst
- Surprise, AZ
National Provider Identifier
1497239107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000707
- Practice address
- 10738 N 184TH Dr
Surprise, AZ 85388-2308 - Phone
- (480) 865-9506
- Fax
- (368) 703-1162
- NPI assigned
- Sep 18, 2018
- 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 Analyst | 103K00000X | BEH-000707 | AZ | Primary |
Addresses
Primary practice location
10738 N 184TH Dr
Surprise, AZ 85388-2308
Mailing address
10738 N 184TH Dr
Surprise, AZ 85388-2308
Phone (480) 865-9506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BEH000707 | Other | AZ | LBA |
| 1-21-51219 | 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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000707 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Self LLC | Behavior Analyst | Current | Accepting new patients |
| Las Raices LLC | Behavior Analyst | Current | Accepting new patients |
Locations
4524 N Maryvale Pkwy
Ste 280
Phoenix, AZ 85031
Phone (480) 865-9506
Organizations & group practices 2
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
- Surprise, AZ
- NPI 1053293936
-
- Behavior Analyst
- Surprise, AZ
- NPI 1336029677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1497239107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10738 N 184TH DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853882308",
"telephone_number": "480-865-9506",
"fax_number": "368-703-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10738 N 184TH DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853882308",
"telephone_number": "480-865-9506",
"fax_number": "368-703-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PAULINE",
"middle_name": "CRYSTAL",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LBA",
"identifier": "BEH000707",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-21-51219",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.