Individual provider Active NPI

Shaghayegh Sarah Sohrab, BCBA

  • Behavior Analyst
  • Prosper, TX
National Provider Identifier
1992340574
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1100 S Coit Rd
BLDG 5
Prosper, TX 75078
Phone
(214) 740-5555
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X TX Primary
Behavior Technician 106S00000X RBT-19-105435 TX

Addresses

Primary practice location

1100 S Coit Rd
BLDG 5
Prosper, TX 75078

Mailing address

1100 S Coit Rd
BLDG 5
Prosper, TX 75078
Phone (214) 740-5555

Other identifiers 1

IdentifierTypeStateIssuer
RBT-19-105435OtherTXBACB

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

LicenseStateTypeSpecialty
RBT-19-105435TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1992340574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COIT RD",
            "address_2": "BLDG 5",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "214-740-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COIT RD",
            "address_2": "BLDG 5",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "214-740-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHRAB",
        "first_name": "SHAGHAYEGH",
        "middle_name": "SARAH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-19-105435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-19-105435",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

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

Verify at the official NPI Registry.