Active NPI
Mark Ashley Sanders, M.ED
- Behavior Analyst
- Russell, KS
National Provider Identifier
1699422006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 971 E Wichita Ave
Russell, KS 67665-2444 - Phone
- (316) 400-3535
- Fax
- (316) 400-3536
- NPI assigned
- Mar 5, 2022
- Last updated
- Mar 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | KS | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
971 E Wichita Ave
Russell, KS 67665-2444
Mailing address
616 S Horseshoe BND
Maize, KS 67101-7013
Phone (316) 304-8482
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 Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Solutions, LLC | Behavior Analyst | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646438400000",
"number": "1699422006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 S HORSESHOE BND",
"city": "MAIZE",
"state": "KS",
"postal_code": "671017013",
"telephone_number": "316-304-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 E WICHITA AVE",
"city": "RUSSELL",
"state": "KS",
"postal_code": "676652444",
"telephone_number": "316-400-3535",
"fax_number": "316-400-3536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MARK",
"middle_name": "ASHLEY",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-05",
"last_updated": "2022-03-05",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KS",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russell, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.