Active NPI
Nicholas Alexander Cuellar
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1649860891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000638
- Practice address
- 5025 E Washington St Ste 212
Phoenix, AZ 85034-7439 - Phone
- (602) 773-5775
- NPI assigned
- Jan 21, 2021
- Sex
- Male
- 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 | BEH-000638 | AZ | Primary |
Addresses
Primary practice location
5025 E Washington St Ste 212
Phoenix, AZ 85034-7439
Mailing address
2520 S Plaza Dr Apt 1030
Tempe, AZ 85282-1030
Phone (602) 881-3286
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 |
|---|---|---|---|
| BEH-000638 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Autism United, Inc. | Behavior Analyst | Past | Accepting new patients |
| Arizona Autism United, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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
- Mesa, AZ
- NPI 1750913364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1649860891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 S PLAZA DR APT 1030",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821030",
"telephone_number": "602-881-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 E WASHINGTON ST STE 212",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850347439",
"telephone_number": "602-773-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUELLAR",
"first_name": "NICHOLAS",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000638",
"primary": true
}
],
"identifiers": [],
"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 Jan 21, 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.