Active NPI
Makita M White, BS
- Behavior Technician
- Mesa, AZ
National Provider Identifier
1740846799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-86807
- Practice address
- 2222 S Dobson Rd BLDG 9
Mesa, AZ 85202-6481 - Phone
- (602) 926-7200
- Fax
- (602) 368-2730
- NPI assigned
- May 15, 2019
- 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 Technician | 106S00000X | RBT-19-86807 | AZ | Primary |
Addresses
Primary practice location
2222 S Dobson Rd BLDG 9
Mesa, AZ 85202-6481
Mailing address
5504 S Heather Dr
Tempe, AZ 85283-2202
Phone (480) 353-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-86807 | Other | AZ | BEHAVIOR ANALYST CERTIFICATION BOARD |
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-86807 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1740846799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 S HEATHER DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852832202",
"telephone_number": "480-353-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S DOBSON RD BLDG 9",
"city": "MESA",
"state": "AZ",
"postal_code": "852026481",
"telephone_number": "602-926-7200",
"fax_number": "602-368-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MAKITA",
"middle_name": "M",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "RBT-19-86807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "RBT-19-86807",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.