Champagne Sumbry, QBA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8670 W Cheyenne Ave Ste 120
Las Vegas, NV 89129-7457

Phone

(702) 419-1262

NPI assigned

Dec 7, 2017

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1619482023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DESERT OAK CT APT C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297457",
            "telephone_number": "702-419-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMBRY",
        "first_name": "CHAMPAGNE",
        "credential": "QBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foday Bangalie Suma, MD
• Jocelyn Sumampong
• Marcia Sumampong
• Agnes Sumang
• Cherubin Sumaway, M.D.
• Darren Sumbry
• Amalia Sumida
• Kevin A Sumida, OT
• Summer Health Medical Group of Kansas, P.a.
• Summerhills Nielson PDC PLLC (SummerHills Dental)

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.