Individual provider Active NPI

Rosanne Licari

  • Behavior Technician
  • Scottsdale, AZ
National Provider Identifier
1912367608
Registry record updated Jun 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
15721 N Greenway Hayden Loop Ste 103
Scottsdale, AZ 85260-1776
Phone
(818) 345-2345
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

15721 N Greenway Hayden Loop Ste 103
Scottsdale, AZ 85260-1776

Mailing address

15721 N Greenway Hayden Loop
Scottsdale, AZ 85260-1650
Phone (818) 345-2345

Other practice location 1

4806 Valley Overlook Dr
Apt 101
Midlothian, VA 23112-8680
Phone (804) 818-3935

Other identifiers 1

IdentifierTypeStateIssuer
E054281MedicaidVA

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": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1912367608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15721 N GREENWAY HAYDEN LOOP",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601650",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15721 N GREENWAY HAYDEN LOOP STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601776",
            "telephone_number": "818-345-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4806 Valley Overlook Dr",
            "address_2": "Apt 101",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231128680",
            "country_code": "US",
            "telephone_number": "804-818-3935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICARI",
        "first_name": "ROSANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E054281",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2019; 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.