Active NPI
Gina Marie Sorensen, BCBA
- Behavior Analyst
- Idaho Falls, ID
National Provider Identifier
1932817004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-31788
- Practice address
- 2222 Teton PLZ Ste 2
Idaho Falls, ID 83404-6485 - Phone
- (208) 360-9654
- NPI assigned
- Nov 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 1-18-31788 | ID | Primary |
Addresses
Primary practice location
2222 Teton PLZ Ste 2
Idaho Falls, ID 83404-6485
Mailing address
2222 Teton PLZ Ste 2
Idaho Falls, ID 83404-6485
Phone (208) 360-9654
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gina@accesspointkids.com |
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": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1932817004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 TETON PLZ STE 2",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046485",
"telephone_number": "208-360-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 TETON PLZ STE 2",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046485",
"telephone_number": "208-360-9654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "ID",
"license": "1-18-31788",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gina@accesspointkids.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "2222 Teton Plz Ste 2",
"city": "Idaho Falls",
"state": "ID",
"country_code": "US",
"postal_code": "834046485",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.