Organization Active NPI

Sue's Kids

  • Behavior Analyst
  • Atlantic, IA
National Provider Identifier
1518515691
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUE'S KIDS
Practice address
1806 Sycamore Ave
Atlantic, IA 50022-2828
Phone
(712) 254-0108
NPI assigned
Aug 31, 2019
Last updated
Aug 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

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

Authorized official

Name
Christopher Hondo Kennedy
Title
President
Phone
(712) 254-0108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1806 Sycamore Ave
Atlantic, IA 50022-2828

Mailing address

1806 Sycamore Ave
Atlantic, IA 50022-2828
Phone (712) 254-0108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567209600000",
    "number": "1518515691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SYCAMORE AVE",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500222828",
            "telephone_number": "712-254-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SYCAMORE AVE",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500222828",
            "telephone_number": "712-254-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE'S KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-31",
        "last_updated": "2019-08-31",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "HONDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-254-0108"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; 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.