Active NPI
Andrea Dawn Newkirk, MA, BCBA, LBA
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1649723685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001640
- Practice address
- 2001 N 3Rd St Ste 100
Phoenix, AZ 85004-1495 - Phone
- (602) 922-6760
- Fax
- (317) 520-8200
- NPI assigned
- Jul 26, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-16-22901 | GA | |
| Behavior Analyst | 103K00000X | BEH-001640 | AZ | Primary |
Addresses
Primary practice location
2001 N 3Rd St Ste 100
Phoenix, AZ 85004-1495
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
2083 Newnan Crossing Blvd E
Newnan, GA 30265-2606
Phone (470) 241-1408
Other practice location 2
5220 N Dysart Rd Bldg C
Litchfield Park, AZ 85340-3045
Phone (623) 244-9179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-16-22901 | Other | BCBA CERTIFICATE |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001640 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Spectrum Therapies, LLC | Behavior Analyst | Past | Accepting new patients |
| Hopebridge, LLC | Behavior Analyst | Past | Accepting new patients |
| Behavior Analysis Center for Autism | Behavior Analyst | Past | Accepting new patients |
| Hopebridge, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Behavior Analyst
- Burbank, CA
- NPI 1609194000
-
- Behavior Analyst
- Fishers, IN
- NPI 1942589619
-
- Child & Adolescent Psychiatry Physician
- Miamisburg, OH
- NPI 1326550781
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1649723685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N 3RD ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041495",
"telephone_number": "602-922-6760",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "2083 Newnan Crossing Blvd E",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302652606",
"country_code": "US",
"telephone_number": "470-241-1408",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5220 N Dysart Rd Bldg C",
"address_purpose": "LOCATION",
"city": "Litchfield Park",
"state": "AZ",
"postal_code": "853403045",
"country_code": "US",
"telephone_number": "623-244-9179",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWKIRK",
"first_name": "ANDREA",
"middle_name": "DAWN",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-16-22901",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-16-22901",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.