Active NPI
Sara N O'Brien, M.S., BCBA
- Behavior Analyst
- Fort Riley, KS
National Provider Identifier
1629306386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-07-3402
- Practice address
- 6563 Hampton PL Apt 2
Fort Riley, KS 66442 - Phone
- (785) 307-4196
- NPI assigned
- Nov 18, 2009
- 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 | 1-07-3402 | FL | Primary |
Addresses
Primary practice location
6563 Hampton PL Apt 2
Fort Riley, KS 66442
Mailing address
PO Box 714
Jenison, MI 49429-0714
Phone (785) 477-6793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-07-3402 | Other | BACB |
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1629306386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 714",
"city": "JENISON",
"state": "MI",
"postal_code": "494290714",
"telephone_number": "785-477-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6563 HAMPTON PL APT 2",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "66442",
"telephone_number": "785-307-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "SARA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-07-3402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-07-3402",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.