Active NPI
Koraima Sierra, BCBA, LBA-AZ
- Behavior Analyst
- Tucson, AZ
National Provider Identifier
1598230336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH000928
- Practice address
- 2285 W Ina Rd
Tucson, AZ 85741-2650 - Phone
- (520) 484-1010
- Fax
- (602) 926-0352
- NPI assigned
- Oct 8, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-21-12054 | AZ | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | BEH000928 | AZ | Primary |
Addresses
Primary practice location
2285 W Ina Rd
Tucson, AZ 85741-2650
Mailing address
2285 W Ina Rd
Tucson, AZ 85741-2650
Phone (520) 484-1010
Other practice location 1
821 E 47th St
Tucson, AZ 85713-5009
Phone (520) 232-2021
Other practice location 2
1563 Kingsley Ave
Orange Park, FL 32073-4503
Phone (904) 541-4919
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 |
|---|---|---|---|
| BEH000928 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Group of Tucson, LLC | Behavior Analyst | Past | Accepting new patients |
| Action Behavior Centers, LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1639322134
Behavior Analyst
-
- Behavior Analyst
- Austin, TX
- NPI 1841654050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1598230336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 W INA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412650",
"telephone_number": "520-484-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 W INA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412650",
"telephone_number": "520-484-1010",
"fax_number": "602-926-0352"
}
],
"practiceLocations": [
{
"address_1": "821 E 47th St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857135009",
"country_code": "US",
"telephone_number": "520-232-2021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1563 Kingsley Ave",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320734503",
"country_code": "US",
"telephone_number": "904-541-4919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIERRA",
"first_name": "KORAIMA",
"credential": "BCBA, LBA-AZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "AZ",
"license": "0-21-12054",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH000928",
"primary": true
}
],
"identifiers": [],
"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 Jan 30, 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.