Organization Active NPI

Sonoran Learning and Behavioral Services LLC

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1821609413
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SONORAN LEARNING AND BEHAVIORAL SERVICES LLC
Practice address
23309 N 17TH Dr Ste 100
Phoenix, AZ 85027-6306
Phone
(602) 882-4238
Fax
(480) 867-0952
NPI assigned
Aug 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Paige BreedenNPI 1548789415
Title
Co-Owner
Phone
(602) 882-4238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

23309 N 17TH Dr Ste 100
Phoenix, AZ 85027-6306

Mailing address

23309 N 17TH Dr Ste 100
Phoenix, AZ 85027-6306
Phone (602) 882-4238

Other identifiers 1

IdentifierTypeStateIssuer
1548789415OtherAZNPPES

National Provider Directory

National Provider Directory

Locations

23309 N 17th Dr
Ste 100
Phoenix, AZ 85027
Phone (602) 882-4238

34225 N 27th Dr
Bldg 4B
Phoenix, AZ 85085
Phone (602) 622-5382

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1821609413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23309 N 17TH DR STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850276306",
            "telephone_number": "602-882-4238",
            "fax_number": "480-867-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23309 N 17TH DR STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850276306",
            "telephone_number": "602-882-4238",
            "fax_number": "480-867-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN LEARNING AND BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "BREEDEN",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-882-4238"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1548789415",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.