Active NPI
Susan Seter Dalen, BCBA
- Behavior Analyst
- Walnut Creek, CA
National Provider Identifier
1265927685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-10-7579
- Practice address
- 2820 Shadelands Dr Ste 200
Walnut Creek, CA 94598-2525 - Phone
- (510) 910-3261
- NPI assigned
- Jun 27, 2018
- 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 | 1-10-7579 | Primary |
Addresses
Primary practice location
2820 Shadelands Dr Ste 200
Walnut Creek, CA 94598-2525
Mailing address
2730 Shadelands Dr
Walnut Creek, CA 94598-2538
Phone (510) 910-3261
Other names 1
- Susan Seter Summers
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540598400000",
"number": "1265927685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982538",
"telephone_number": "510-910-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 SHADELANDS DR STE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982525",
"telephone_number": "510-910-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEN",
"first_name": "SUSAN",
"middle_name": "SETER",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-10-7579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "SUMMERS",
"middle_name": "SETER",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.