Active NPI
Sary Kelly Salaya-Molina
- Behavior Analyst
- Saint Anthony, MN
National Provider Identifier
1609440221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1659907061
- Practice address
- 4001 Stinson Blvd Ste 314
Saint Anthony, MN 55421-3424 - Phone
- (612) 298-7636
- NPI assigned
- May 18, 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 | 1659907061 | MN | Primary |
Addresses
Primary practice location
4001 Stinson Blvd Ste 314
Saint Anthony, MN 55421-3424
Mailing address
4001 Stinson Blvd Ste 314
Saint Anthony, MN 55421-3424
Phone (612) 298-7636
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 |
|---|---|---|---|
| 1659907061 | MN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1609440221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 STINSON BLVD STE 314",
"city": "SAINT ANTHONY",
"state": "MN",
"postal_code": "554213424",
"telephone_number": "612-298-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 STINSON BLVD STE 314",
"city": "SAINT ANTHONY",
"state": "MN",
"postal_code": "554213424",
"telephone_number": "612-298-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAYA-MOLINA",
"first_name": "SARY",
"middle_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MN",
"license": "1659907061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Anthony, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.