Individual provider Active NPI

Sarah Caroline Humphrey, BCBA

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1669989034
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2593 Issued in TX
Practice address
11718 Metric Blvd BLDG a
Austin, TX 78758-3203
Phone
(512) 265-3615
Fax
(512) 572-8607
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X BACB339507 FL
Behavior Analyst 103K00000X 2593 TX Primary

Addresses

Primary practice location

11718 Metric Blvd BLDG a
Austin, TX 78758-3203

Mailing address

7500 San Felipe St Ste 990
Houston, TX 77063-1708
Phone (281) 826-3382

Other practice location 1

103 Lewis St
Fort Walton Beach, FL 32547-3142
Phone (850) 362-6824

Other practice location 2

904 Mountain Lion Cir Ste 500
Harker Heights, TX 76548-5725
Phone (254) 213-1924

Other practice location 3

30 S 3rd St
Pensacola, FL 32507-3640
Phone (816) 810-9640

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

LicenseStateTypeSpecialty
2593TXMDBehavioral Analyst
BACB339507FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Expectations Inc. Behavior Analyst PastSince Aug 1, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1669989034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "281-826-3382",
            "fax_number": "425-491-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11718 METRIC BLVD BLDG A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583203",
            "telephone_number": "512-265-3615",
            "fax_number": "512-572-8607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Lewis St",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325473142",
            "country_code": "US",
            "telephone_number": "850-362-6824",
            "fax_number": "850-362-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Mountain Lion Cir Ste 500",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765485725",
            "country_code": "US",
            "telephone_number": "254-213-1924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325073640",
            "country_code": "US",
            "telephone_number": "816-810-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "SARAH",
        "middle_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB339507",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.