NPIMap

Organization Active NPI

Kaibab Behavioral Services, PLLC

  • Behavior Analyst
  • Flagstaff, AZ
National Provider Identifier
1992295745
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-72 Issued in AZ
Legal business name
KAIBAB BEHAVIORAL SERVICES, PLLC
Practice address
5200 E Cortland Blvd Ste A21
Flagstaff, AZ 86004-9394
Phone
(928) 275-1339
Fax
(928) 222-1339
NPI assigned
May 17, 2018
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Korina Maestas, M.ED, BCBA, LBANPI 1295249464
Title
Owner / Ceo
Phone
(928) 275-1339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-72 AZ Primary

Addresses

Primary practice location

5200 E Cortland Blvd Ste A21
Flagstaff, AZ 86004-9394

Mailing address

2323 E Greenlaw LN Ste 12a
Flagstaff, AZ 86004-1849
Phone (928) 275-1339

National Provider Directory

National Provider Directory

Locations

2323 E Greenlaw Ln
Ste 12A
Flagstaff, AZ 86004
Phone (928) 275-1339

5200 E Cortland Blvd
Ste A21
Flagstaff, AZ 86004
Phone (928) 275-1339

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1992295745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN STE 12A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041849",
            "telephone_number": "928-275-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 E CORTLAND BLVD STE A21",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860049394",
            "telephone_number": "928-275-1339",
            "fax_number": "928-222-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIBAB BEHAVIORAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "MAESTAS",
        "authorized_official_first_name": "KORINA",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "928-275-1339",
        "authorized_official_credential": "M.ED, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-72",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 14, 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.