Individual provider Active NPI

Koraima Sierra, BCBA, LBA-AZ

  • Behavior Analyst
  • Tucson, AZ
National Provider Identifier
1598230336
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH000928 Issued in AZ
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

Updated by the provider on Jan 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
BEH000928AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Group of Tucson, LLC Behavior Analyst PastSince Aug 1, 2021 Accepting new patients
Action Behavior Centers, LLC Behavior Analyst PastSince Feb 8, 2023 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.

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.

Verify at the official NPI Registry.