Individual provider Active NPI

Pauline Crystal Brown, MA, BCBA, LBA

  • Behavior Analyst
  • Surprise, AZ
National Provider Identifier
1497239107
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-000707 Issued in AZ
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

Updated by the provider on Sep 9, 2026

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 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

IdentifierTypeStateIssuer
BEH000707OtherAZLBA
1-21-51219OtherBCBA 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

LicenseStateTypeSpecialty
BEH-000707AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Self LLC Behavior Analyst Current Accepting new patients
Las Raices LLC Behavior Analyst CurrentSince Nov 9, 2025 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.

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.

Verify at the official NPI Registry.