Individual provider Active NPI

Jill Marie Cooney, MED, BCBA, LBA

  • Behavior Analyst
  • Flagstaff, AZ
National Provider Identifier
1902472145
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-001845 Issued in AZ
Practice address
2748 N Eddy Dr
Flagstaff, AZ 86001-0702
Phone
(928) 600-2190
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 BEH-001845 AZ Primary

Addresses

Primary practice location

2748 N Eddy Dr
Flagstaff, AZ 86001-0702

Mailing address

2748 N Eddy Dr
Flagstaff, AZ 86001-0702
Phone (928) 600-2190

Other practice location 1

1840 N 95th Ave Ste 140
Phoenix, AZ 85037-4446
Phone (623) 264-8188

Other identifiers 1

IdentifierTypeStateIssuer
1-25-8435OtherBCBA-CERTIFICATE

Other names 1

  • Jill Marie Stowe Former name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
BEH-001845AZMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1902472145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 N EDDY DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010702",
            "telephone_number": "928-600-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 N EDDY DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010702",
            "telephone_number": "928-600-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 N 95th Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850374446",
            "country_code": "US",
            "telephone_number": "623-264-8188",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COONEY",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-001845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA-CERTIFICATE",
            "identifier": "1-25-8435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "STOWE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.