Active NPI
Richard Earl North III
- Behavior Analyst
- Laveen, AZ
National Provider Identifier
1902407273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9430 S 34TH LN
Laveen, AZ 85339-2506 - Phone
- (602) 675-0514
- Fax
- (855) 572-6173
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- 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 | AZ | Primary |
Addresses
Primary practice location
9430 S 34TH LN
Laveen, AZ 85339-2506
Mailing address
2030 W Baseline Rd
Suite 182 #533
Phoenix, AZ 85041
Phone (602) 675-0514
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": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1902407273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 W BASELINE RD",
"address_2": "SUITE 182 #533",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85041",
"telephone_number": "602-675-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 S 34TH LN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853392506",
"telephone_number": "602-675-0514",
"fax_number": "855-572-6173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTH",
"first_name": "RICHARD",
"middle_name": "EARL",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.