Shaunice Jannel Suazo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188

Phone

(510) 566-2147

NPI assigned

Sep 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1194375501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 KIRKHAM ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ATLANTIC AVE STE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011188",
            "telephone_number": "510-566-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Sneath Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940662349",
            "country_code": "US",
            "telephone_number": "650-243-9849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAZO",
        "first_name": "SHAUNICE",
        "middle_name": "JANNEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.csdautismservices.com",
            "affiliation": "N",
            "address_1": "1025 Atlantic Ave Ste 101",
            "city": "Alameda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945011188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trevor Strobel
• Christopher Stroman
• Alexandra Tyan Strutner
• Mackenzie McGregor Stuart, MA, LMFT
• Kesha Marie Suarez
• Zahur-Akhtar Subedar
• Kenneth Henry Sue, RPH
• Madison Kelli Yee Sui
• Benjamin Thomas Sullenger
• Jennifer Sullivan

• Behavior Technician in Alameda, CA
• Providers in Alameda, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.