Active NPI
Sarah Lynn Heidebrink
- Behavior Analyst
- Fort Worth, TX
National Provider Identifier
1609787902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1223772
- Practice address
- 3132 Altamesa Blvd
Fort Worth, TX 76133-5708 - Phone
- (682) 224-2527
- Fax
- (682) 224-2528
- NPI assigned
- Sep 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 1223772 | TX | Primary |
Addresses
Primary practice location
3132 Altamesa Blvd
Fort Worth, TX 76133-5708
Mailing address
641 Blueberry Hill LN
Mansfield, TX 76063-3629
Phone (682) 436-6933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1609787902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 BLUEBERRY HILL LN",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633629",
"telephone_number": "682-436-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 ALTAMESA BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761335708",
"telephone_number": "682-224-2527",
"fax_number": "682-224-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDEBRINK",
"first_name": "SARAH",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1223772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.