Active NPI
Susana Del Carmen Wynkoop, BCBA LBA
- Behavior Analyst
- San Antonio, TX
National Provider Identifier
1457960387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4865
- Practice address
- 300 E Sonterra Blvd Ste 410
San Antonio, TX 78258-3972 - Phone
- (512) 772-4042
- Fax
- (512) 842-7446
- NPI assigned
- Jul 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 4865 | TX | Primary |
| Behavior Technician | 106S00000X | RBT-18-68049 | TX |
Addresses
Primary practice location
300 E Sonterra Blvd Ste 410
San Antonio, TX 78258-3972
Mailing address
300 E Sonterra Blvd Ste 410
San Antonio, TX 78258-3972
Phone (512) 772-4042
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 |
|---|---|---|---|
| RBT-18-68049 | TX | MD | Behavior Technician |
| 4865 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1457960387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E SONTERRA BLVD STE 410",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583972",
"telephone_number": "512-772-4042",
"fax_number": "512-842-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E SONTERRA BLVD STE 410",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583972",
"telephone_number": "512-772-4042",
"fax_number": "512-842-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNKOOP",
"first_name": "SUSANA",
"middle_name": "DEL CARMEN",
"credential": "BCBA LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "4865",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-18-68049",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.