IndividualActive
Sara Nicodemus
NPI 1720614779 · Behavior Technician · Avondale, AZ
Sara Nicodemus is a Behavior Technician provider in Avondale, AZ (NPI 1720614779).
Provider details
- NPI number
- 1720614779
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10320 W Mcdowell Rd Ste Avondale
Avondale, AZ 85392-4863
Phone: (602) 397-2499
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Registry dates
- Enumerated
- 2020-03-20
- Last updated
- 2020-03-20
- Certified
- 2020-03-20
Frequently asked questions
- What is Sara Nicodemus's NPI number?
- Sara Nicodemus's National Provider Identifier (NPI) is 1720614779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sara Nicodemus's specialty?
- Sara Nicodemus is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Sara Nicodemus located?
- Sara Nicodemus's practice location on file with NPPES is 10320 W Mcdowell Rd Ste Avondale, Avondale, AZ 85392-4863.
- What is Sara Nicodemus's phone number?
- The practice phone number listed in the NPPES registry for Sara Nicodemus is (602) 397-2499.
- Is Sara Nicodemus's NPI active?
- Yes — Sara Nicodemus's NPI (1720614779) is active in the NPPES registry as of the last update on 2020-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.