Suzy Lea Juarez, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24542 Issued in CA

Practice address

25558 Oak St
Lomita, CA 90717-2635

Phone

(213) 984-3937

NPI assigned

Nov 16, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Hope ABA, Behavioral & Academic Services,

  • Behavior Analyst
  • Lomita, CA
  • NPI 1962099705
  NPD Authorized official

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1619244845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25558 OAK ST",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172635",
            "telephone_number": "121-398-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25558 OAK ST",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172635",
            "telephone_number": "213-984-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "SUZY",
        "middle_name": "LEA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-24542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85-1911973",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BJ Jennewein, DC
• Steven Jeff Jennewein, D.C.
• Lisa Johnson, PHARM.D.
• Angela Jones, BCBA
• Corina Juarez Baltazar, BT
• Rolando Maravilla Justiniani, BACHELOR OF SCIENCE
• Kanamee Home Healthcare Services
• Sarah Kang
• Susan J Kaspian, O.D.
• Yuko Kehoe, D.C.

• Behavior Analyst in Lomita, CA
• Providers in Lomita, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.