Individual provider Active NPI

Suann Valentine

  • Behavior Technician
  • Berlin, MD
National Provider Identifier
1346772944
Registry record updated Apr 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-23135 Issued in MD
Practice address
10514 Racetrack Rd
Suite G
Berlin, MD 21811-3241
Phone
(410) 973-2301
Fax
(410) 973-2305
NPI assigned
Apr 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-23135 MD Primary

Addresses

Primary practice location

10514 Racetrack Rd
Suite G
Berlin, MD 21811-3241

Mailing address

198 Windjammer Rd
Berlin, MD 21811-1830
Phone (443) 880-7392

Other names 1

  • Ms. Suann O'Berry Former name

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

LicenseStateTypeSpecialty
RBT-16-23135MDMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Front Counseling 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1346772944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 WINDJAMMER RD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111830",
            "telephone_number": "443-880-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10514 RACETRACK RD",
            "address_2": "SUITE G",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113241",
            "telephone_number": "410-973-2301",
            "fax_number": "410-973-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "SUANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-16-23135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUANN",
            "last_name": "O'BERRY",
            "prefix": "MS.",
            "credential": "R.B.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; 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.