Active NPI
Daniel A Holbery, M.ED
- Behavior Analyst
- Tucson, AZ
National Provider Identifier
1548638281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA-0190
- Practice address
- 140 N Tucson Blvd
Tucson, AZ 85716-4740 - Phone
- (520) 881-1292
- Fax
- (520) 881-1648
- NPI assigned
- Sep 11, 2015
- Sex
- Male
- 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 | BA-0190 | AZ | Primary |
Addresses
Primary practice location
140 N Tucson Blvd
Tucson, AZ 85716-4740
Mailing address
140 N Tucson Blvd
Tucson, AZ 85716-4740
Phone (520) 881-1292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH-0190 | Other | AZ | ARIZONA STATE BOARD OF PSYCHOLOGIST EXAMINERS |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA-0190 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1548638281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 N TUCSON BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164740",
"telephone_number": "520-881-1292",
"fax_number": "520-881-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N TUCSON BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164740",
"telephone_number": "520-881-1292",
"fax_number": "520-881-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBERY",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BA-0190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF PSYCHOLOGIST EXAMINERS",
"identifier": "BH-0190",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.