Bethany Lynn Demore Chadd, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-6913 Issued in AZ

Practice address

300 N 18TH St
Phoenix, AZ 85006-4103

Phone

(602) 340-8717

NPI assigned

Jul 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Southwest Autism Research and Resource Center

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1821666439
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1801107107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 N 32ND PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181407",
            "telephone_number": "602-330-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 18TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850064103",
            "telephone_number": "602-340-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMORE CHADD",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-10-6913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Demenna, MD
• Larry Demers, RN
• Thomas Raymond Demers, D.C.
• Emily Rose Demeulenaere, PT, DPT
• Bethanie Demmitt, DNP, APRN, FNP-C
• Emma Adelle Demore-Mack, RN
• Paula Marie Demore, JD, LPC, NCC
• Paul Thomas Demos, JD, MBA, BS
• Brandie M Dempsay, RCP
• John Robert Dempsey, D.D.S. M.S.

• Behavior Analyst in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.