Susan Jane Evers, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000712 Issued in VA

Practice address

12656 Lake Ridge Dr Ste C
Att; Behavioral Consulting Services, Inc.
Woodbridge, VA 22192-7504

Phone

(703) 597-8209

Fax

(703) 910-4367

NPI assigned

Feb 11, 2016

Last updated

Feb 11, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1225497753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 RECTOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933703",
            "telephone_number": "703-597-8209",
            "fax_number": "703-910-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12656 LAKE RIDGE DR STE C",
            "address_2": "ATT; BEHAVIORAL CONSULTING SERVICES, INC.",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927504",
            "telephone_number": "703-597-8209",
            "fax_number": "703-910-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERS",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.