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Anna Kim Ta , MS

Behavior Analyst β€’ Phoenix, AZ

Active NPI 1568932655 Individual Practitioner Female Practitioner
Practice location in NPPES

11201 N Tatum Blvd Ste 100
Phoenix, AZ 850286037

Call 7206372321 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11201 N Tatum Blvd Ste 100

Phoenix, AZ 850286037

Telephone 7206372321
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Denver, CO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

528 active clinicians are listed under Behavior Analyst with a practice address in Phoenix, AZ (1,775 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0% of these 528 clinicians have the CMS telehealth indicator.

0% of these 528 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Behavior Analyst
1831541770

Secondary Practice Locations

3401 Quebec St Ste 110

Denver, CO 802072322

Phone: 7206372321

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location May 29, 2025

Registered at 11201 N TATUM BLVD STE 100, PHOENIX, AZ 850286037 (Tel: 7206372321)

πŸ“
Updated Business Mailing Address May 29, 2025

Registered at 9316 BELLEWOOD CT, HIGHLANDS RANCH, CO 801262706 (Tel: 4086442286)

πŸ“
Updated Practice Location July 19, 2021

Registered at 16530 AVONDALE RD NE, WOODINVILLE, WA 980779178 (Tel: 2532940783)

πŸ“
Updated Business Mailing Address July 19, 2021

Registered at 19915 BOTHELL EVERETT HWY APT 1103, BOTHELL, WA 980128167 (Tel: 4086442286)

πŸ‘€
Provider Name / Credentials Updated July 19, 2021

Recorded as ANNA TA, M.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2021

Behavior Analyst

βœ…
NPI Profile Active November 30, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 30, 2018

Registered at 3914 MURPHY CANYON RD STE A120, SAN DIEGO, CA 921234457 (Tel: 9518314034)

πŸ“
Business Mailing Address (Initial Record) November 30, 2018

Registered at 4123 30TH ST APT 4, SAN DIEGO, CA 921041977 (Tel: 4086442286)

πŸ‘€
Provider Name / Credentials (Initial Record) November 30, 2018

Recorded as ANNA TA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration November 30, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568932655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2018
Last Update: May 29, 2025
Sole Proprietor: No

Mailing Address

9316 Bellewood Ct

Highlands Ranch, CO 801262706

Phone: 4086442286

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.