Sally Yates, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12156520 Issued in CO

Practice address

6750 W 52ND Ave
Arvada, CO 80002-3928

Phone

(720) 706-3396

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soar Health, Inc.

  dba Soar Autism Center

  • Behavior Analyst
  • Denver, CO
  • NPI 1437751252
  NPD (past)

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1841901758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 N WASHINGTON ST APT 402",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031491",
            "telephone_number": "704-500-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W 52ND AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023928",
            "telephone_number": "720-706-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Quebec St Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802072339",
            "country_code": "US",
            "telephone_number": "720-706-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "SALLY",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "12156520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajesh Yalavarthy, MD
• David Warren Yamamoto, M.D.
• Christine Yamasaki, M.A., L.P.C.
• Jeffrey Yamasaki
• Justin Yan, M.D.
• Betty Yip, DMD
• Terry R. Yochum, D.C., D.A.C.B.R.
• Breanna Alisia Young, PA-C
• Heather Young
• Lashica M Young, D.D.S.

• Behavior Analyst in Arvada, CO
• Providers in Arvada, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.