Active NPI
Sarah Rose, BCBA
- Behavior Analyst
- King George, VA
National Provider Identifier
1942844162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133003147
- Practice address
- 10850 Wisteria LN
King George, VA 22485-3882 - Phone
- (866) 764-2841
- Fax
- (866) 764-2841
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- 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 | 0133003147 | VA | Primary |
Addresses
Primary practice location
10850 Wisteria LN
King George, VA 22485-3882
Mailing address
10850 Wisteria LN
King George, VA 22485-3882
Phone (912) 266-8686
Other practice location 1
103 Johansen Way
Kingsland, GA 31548-6857
Phone (425) 949-0801
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0133003147 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Behavior Placellc | Behavior Analyst | Current | Accepting new patients |
| The Behavior Placellc | Behavior Analyst | Past | Accepting new patients |
| The Behavior Placellc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Fernandina Beach, FL
- NPI 1376116772
-
- Behavior Analyst
- King George, VA
- NPI 1013622554
-
- Behavior Analyst
- Saint Marys, GA
- NPI 1629536339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1942844162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10850 WISTERIA LN",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224853882",
"telephone_number": "912-266-8686",
"fax_number": "866-764-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10850 WISTERIA LN",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224853882",
"telephone_number": "866-764-2841",
"fax_number": "866-764-2841"
}
],
"practiceLocations": [
{
"address_1": "103 Johansen Way",
"address_purpose": "LOCATION",
"city": "Kingsland",
"state": "GA",
"postal_code": "315486857",
"country_code": "US",
"telephone_number": "425-949-0801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "SARAH",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133003147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.