Active NPI
Susanna Elana Perez-Bard
- Behavior Technician
- Oxford, PA
National Provider Identifier
1427848324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 30362550
- Practice address
- 31 S 4TH St Apt 2
Oxford, PA 19363-1604 - Phone
- (484) 667-7974
- NPI assigned
- May 12, 2025
- Last updated
- May 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | 30362550 | PA | Primary |
Addresses
Primary practice location
31 S 4TH St Apt 2
Oxford, PA 19363-1604
Mailing address
31 S 4TH St Apt 2
Oxford, PA 19363-1604
Phone (484) 667-7974
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 |
|---|---|---|---|
| 30362550 | PA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1427848324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 S 4TH ST APT 2",
"city": "OXFORD",
"state": "PA",
"postal_code": "193631604",
"telephone_number": "484-667-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 S 4TH ST APT 2",
"city": "OXFORD",
"state": "PA",
"postal_code": "193631604",
"telephone_number": "484-667-7974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-BARD",
"first_name": "SUSANNA",
"middle_name": "ELANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-12",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "PA",
"license": "30362550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, PA
- Oxford Dental Associates
- Oxford Family Dentistry, LLC
- Oxford Family Eyecare, PC
- Oxford Medical Center (Red Rose Family Physicians)
- Julia J Pavlik
- Christine Pla, PT, DPT, LAT, ATC
- Presbyterian Homes Inc. (Oxford Health Center)
- Austin Lee Prewitt, LAT, ATC
- Stephanie Karen Quinn, COTA/L
- Brinda E Rao, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.