Active NPI
Sara Elizabeth Hazelton
- Behavior Analyst
- Hamilton, OH
National Provider Identifier
1821520719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18607
- Practice address
- 1441 Helma Ave
Hamilton, OH 45013-4611 - Phone
- (513) 503-9737
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-15-18607 | IN | Primary |
Addresses
Primary practice location
1441 Helma Ave
Hamilton, OH 45013-4611
Mailing address
1441 Helma Ave
Hamilton, OH 45013-4611
Phone (513) 503-9737
Other names 1
- Sara Elizabeth Clark
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1821520719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 HELMA AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450134611",
"telephone_number": "513-503-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 HELMA AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450134611",
"telephone_number": "513-503-9737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZELTON",
"first_name": "SARA",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-15-18607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "CLARK",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.