Ajisha Monique Sutton, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-67346 Issued in TX

Practice address

11006 River Stroll St
San Antonio, TX 78230-2524

Phone

(855) 374-4900

Fax

(855) 322-3694

NPI assigned

Dec 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• TX Behavioral Supports, LLC

  • Behavior Analyst
  • Frisco, TX
  • NPI 1669103933
  NPD (past)

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1568059517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 FREDERICKBURG ROAD",
            "address_2": "APT# 1504",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012964",
            "telephone_number": "210-769-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11006 RIVER STROLL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302524",
            "telephone_number": "855-374-4900",
            "fax_number": "855-322-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3403B Garden Villa Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787046915",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "AJISHA",
        "middle_name": "MONIQUE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2024-08-08",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-23-67346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Elizabeth Sutter, M.D.
• Gage Sutter
• Laura Kathleen Suttin, M.D.
• Heather Lynn Suttle
• Andrew Sutton-Gamez
• Allison Barbara Sutton, MD
• Audrey Annette Sutton, DNP
• Averell H Sutton, M.D.
• Brooklynn Sutton, RBT
• Erika Diane Sutton

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.