Active NPI
Susan Marks, BCBA
- Behavior Analyst
- Flagstaff, AZ
National Provider Identifier
1619104361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 906 W University Ave Ste 120
Bcsna, LLC
Flagstaff, AZ 86001-7115 - Phone
- (928) 556-9935
- NPI assigned
- Jun 19, 2009
- Last updated
- May 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
906 W University Ave Ste 120
Bcsna, LLC
Flagstaff, AZ 86001-7115
Mailing address
906 W University Ave Ste 120
Bcsna, LLC
Flagstaff, AZ 86001-7115
Phone (928) 556-9935
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1619104361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 W UNIVERSITY AVE STE 120",
"address_2": "BCSNA, LLC",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017115",
"telephone_number": "928-556-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 W UNIVERSITY AVE STE 120",
"address_2": "BCSNA, LLC",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017115",
"telephone_number": "928-556-9935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-19",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.