Active NPI
Megan Suermann
- Behavior Analyst
- New Braunfels, TX
National Provider Identifier
1114343696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11416807
- Practice address
- 1098 Provence PL
New Braunfels, TX 78132 - Phone
- (719) 439-0029
- Fax
- (210) 855-7844
- NPI assigned
- Mar 8, 2014
- 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 | 11416807 | CO | Primary |
Addresses
Primary practice location
1098 Provence PL
New Braunfels, TX 78132
Mailing address
1098 Provence PL
New Braunfels, TX 78132
Phone (719) 439-0029
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 |
|---|---|---|---|
| 11416807 | CO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain Bridge ABA, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- New Braunfels, TX
- NPI 1962868331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1114343696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 PROVENCE PL",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78132",
"telephone_number": "719-439-0029",
"fax_number": "210-855-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 PROVENCE PL",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78132",
"telephone_number": "719-439-0029",
"fax_number": "210-855-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUERMANN",
"first_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-08",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "11416807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.