Active NPI
Kaela Janelle Grant
- Behavior Analyst
- San Tan Valley, AZ
National Provider Identifier
1689498313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001570
- Practice address
- 37200 N Gantzel Rd Ste 150
San Tan Valley, AZ 85140-7383 - Phone
- (520) 484-1111
- NPI assigned
- Nov 11, 2024
- 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 | BEH-001570 | AZ | Primary |
Addresses
Primary practice location
37200 N Gantzel Rd Ste 150
San Tan Valley, AZ 85140-7383
Mailing address
2743 E Trail Blazer Dr
San Tan Valley, AZ 85140-0022
Phone (480) 544-1989
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-001570 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1689498313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2743 E TRAIL BLAZER DR",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851400022",
"telephone_number": "480-544-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37200 N GANTZEL RD STE 150",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407383",
"telephone_number": "520-484-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "KAELA",
"middle_name": "JANELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.