Active NPI
Maelyn Joy Sutliff, BCBA, LBA
- Behavior Analyst
- Staunton, VA
National Provider Identifier
1215746342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133004038
- Practice address
- 116 W Beverley St
Staunton, VA 24401-4279 - Phone
- (540) 332-3934
- NPI assigned
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 0133004038 | VA | Primary |
Addresses
Primary practice location
116 W Beverley St
Staunton, VA 24401-4279
Mailing address
43 Olive St
Staunton, VA 24401-3045
Phone (540) 935-7327
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 |
|---|---|---|---|
| 0133004038 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1215746342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 OLIVE ST",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244013045",
"telephone_number": "540-935-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W BEVERLEY ST",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244014279",
"telephone_number": "540-332-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTLIFF",
"first_name": "MAELYN",
"middle_name": "JOY",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-03",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133004038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.