Active NPI
Mya Evans, RBT
- Behavior Technician
- Phoenix, AZ
National Provider Identifier
1821815630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1177338
- Practice address
- 4616 N 51St Ave Ste 216
Phoenix, AZ 85031-1716 - Phone
- (602) 612-8776
- NPI assigned
- Sep 23, 2024
- 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 | 1177338 | AZ | Primary |
Addresses
Primary practice location
4616 N 51St Ave Ste 216
Phoenix, AZ 85031-1716
Mailing address
1000 N 44TH St Unit 1012
Phoenix, AZ 85008-5758
Phone (651) 239-9829
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1177338 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1821815630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N 44TH ST UNIT 1012",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850085758",
"telephone_number": "651-239-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4616 N 51ST AVE STE 216",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850311716",
"telephone_number": "602-612-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MYA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "1177338",
"primary": true
}
],
"identifiers": [],
"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 Sep 23, 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.