Individual provider Active NPI

Sara Ann Hassan, ED.S, LBA

  • Behavior Analyst
  • Fort Scott, KS
National Provider Identifier
1700472271
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
382 Issued in KS
Practice address
911 S Hazelwood St
Fort Scott, KS 66701-2877
Phone
(316) 210-8590
NPI assigned
Dec 17, 2020
Last updated
Jan 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4459246325 KS
Behavior Analyst 103K00000X 382 KS Primary

Addresses

Primary practice location

911 S Hazelwood St
Fort Scott, KS 66701-2877

Mailing address

21673 W 126TH Ter
Olathe, KS 66061-6687
Phone (316) 210-8590

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
4459246325KSMDSchool Psychologist
382KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1700472271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21673 W 126TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616687",
            "telephone_number": "316-210-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S HAZELWOOD ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012877",
            "telephone_number": "316-210-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "SARA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ED.S, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "KS",
            "license": "4459246325",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.