Individual provider Active NPI

Susan Marie Hammerand, LBA

  • Behavior Analyst
  • Avondale, AZ
National Provider Identifier
1366060485
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-001898 Issued in AZ
Practice address
1471 N Eliseo Felix Jr Way
Avondale, AZ 85323-1208
Phone
(602) 609-4221
Fax
(602) 273-9108
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BEH-001898 AZ Primary

Addresses

Primary practice location

1471 N Eliseo Felix Jr Way
Avondale, AZ 85323-1208

Mailing address

5025 E Washington St Ste 212
Phoenix, AZ 85034-7439
Phone (602) 773-5773

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
BEH-001898AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Autism United, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Arizona Autism United, Inc. Behavior Analyst PastSince Jun 23, 2025 Accepting new patients

Locations

1471 N Eliseo Felix Jr Way
Avondale, AZ 85323
Phone (602) 609-4221

5025 E Washington St
Ste 212
Phoenix, AZ 85034
Phone (602) 773-5773

Organizations & group practices 2

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1366060485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 E WASHINGTON ST STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347439",
            "telephone_number": "602-773-5773",
            "fax_number": "602-273-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 N ELISEO FELIX JR WAY",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231208",
            "telephone_number": "602-609-4221",
            "fax_number": "602-273-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERAND",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-001898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.