Individual provider Active NPI

Christine Ann Susk

  • Behavior Analyst
  • Des Moines, IA
National Provider Identifier
1619889854
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-01660 Issued in IA
Practice address
2680 Fleur Dr
Des Moines, IA 50321-1756
Phone
(515) 257-6825
NPI assigned
Sep 22, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-01660 IA Primary

Addresses

Primary practice location

2680 Fleur Dr
Des Moines, IA 50321-1756

Mailing address

1621 9TH St Apt 12
Des Moines, IA 50314-2848
Phone (609) 435-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1619889854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 9TH ST APT 12",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142848",
            "telephone_number": "609-435-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 FLEUR DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503211756",
            "telephone_number": "515-257-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSK",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IA",
            "license": "BA-01660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.