Individual provider Active NPI

Sarah A Craley, BCBA, LBA

  • Behavior Analyst
  • Havre de Grace, MD
National Provider Identifier
1871920488
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA402 Issued in MD
Practice address
1106 Revolution St
Havre de Grace, MD 21078-3721
Phone
(410) 776-4640
Fax
(410) 734-4640
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA402 MD Primary

Addresses

Primary practice location

1106 Revolution St
Havre de Grace, MD 21078-3721

Mailing address

3030 Grafton LN
Churchville, MD 21028
Phone (410) 776-4640

Other identifiers 1

IdentifierTypeStateIssuer
424617900MedicaidMD

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

LicenseStateTypeSpecialty
LBA402MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Alternatives for Learning Behavior Analyst CurrentSince Oct 1, 2019 Accepting new patients

Locations

1106 Revolution St
Hvre de Grace, MD 21078
Phone (410) 776-4640

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1871920488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 GRAFTON LN",
            "city": "CHURCHVILLE",
            "state": "MD",
            "postal_code": "21028",
            "telephone_number": "410-776-4640",
            "fax_number": "410-734-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783721",
            "telephone_number": "410-776-4640",
            "fax_number": "410-734-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRALEY",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424617900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.