Active NPI
Donna Jean Salazar, M. ED., LBA, LISAC
- Behavior Analyst
- Casa Grande, AZ
National Provider Identifier
1629282686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000773
- Practice address
- 705 N Olive Ave
Casa Grande, AZ 85122-4034 - Phone
- (520) 840-0697
- Fax
- (520) 635-5331
- NPI assigned
- May 9, 2007
- Last updated
- Jul 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-11747 | AZ | |
| Behavior Analyst | 103K00000X | BEH-000773 | AZ | Primary |
Addresses
Primary practice location
705 N Olive Ave
Casa Grande, AZ 85122-4034
Mailing address
PO Box 562
Florence, AZ 85132-3010
Phone (520) 840-0697
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 |
|---|---|---|---|
| LISAC-11747 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| BEH-000773 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Consulting by Donna, LLC. | Current | Accepting new patients |
Locations
705 N Olive Ave
Casa Grande, AZ 85122
Phone (520) 840-0697
120 N Arizona Blvd
Ste 7
Coolidge, AZ 85128
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Casa Grande, AZ
- NPI 1558006460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1629282686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 562",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851323010",
"telephone_number": "520-840-0697",
"fax_number": "520-635-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N OLIVE AVE",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224034",
"telephone_number": "520-840-0697",
"fax_number": "520-635-5331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "DONNA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "M. ED., LBA, LISAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-11747",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.