Individual provider Active NPI

Elizabeth Sausedo

  • Assistant Behavior Analyst
  • Fremont, CA
National Provider Identifier
1659987493
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
39159 Paseo Padre Pkwy Ste 205
Fremont, CA 94538-1623
Phone
(408) 372-8280
Fax
(408) 608-2203
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

39159 Paseo Padre Pkwy Ste 205
Fremont, CA 94538-1623

Mailing address

39159 Paseo Padre Pkwy Ste 205
Fremont, CA 94538-1623
Phone (408) 372-8280

Other identifiers 1

IdentifierTypeStateIssuer
831554738OtherCAABA THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elizabeth@edsped.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ed Sped Solutions, Inc. CurrentSince Sep 20, 2020 Accepting new patients

Locations

39159 Paseo Padre Pkwy
Ste 205
Fremont, CA 94538
Phone (408) 372-8280

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1659987493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39159 PASEO PADRE PKWY STE 205",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381623",
            "telephone_number": "408-372-8280",
            "fax_number": "408-608-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39159 PASEO PADRE PKWY STE 205",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381623",
            "telephone_number": "408-372-8280",
            "fax_number": "408-608-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUSEDO",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABA THERAPY",
            "identifier": "831554738",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elizabeth@edsped.com",
            "affiliation": "N",
            "endpointDescription": "elizabeth@edsped.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "39159 Paseo Padre Pkwy Ste 205",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945381623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.