Active NPI
Dariia Gwinn
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1538738190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000687
- Practice address
- 18444 N 25TH Ave
Phoenix, AZ 85023-1261 - Phone
- (480) 239-9794
- NPI assigned
- Jun 18, 2021
- Last updated
- Dec 16, 2021
- 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-000687 | AZ | Primary |
Addresses
Primary practice location
18444 N 25TH Ave
Phoenix, AZ 85023-1261
Mailing address
21168 E Ocotillo Rd # 1027
Queen Creek, AZ 85142-8175
Phone (623) 703-7810
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 |
|---|---|---|---|
| BEH-000687 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1538738190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21168 E OCOTILLO RD # 1027",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851428175",
"telephone_number": "623-703-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231261",
"telephone_number": "480-239-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWINN",
"first_name": "DARIIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.