Susan Emerald Tanner
Individual provider Active NPI Behavior Technician · Wellington, CO
NPI 1669916953 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1669916953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2551 E County Road 62E
Wellington, CO 80549-1502 - Phone
- (318) 446-3238
- Fax
- (970) 295-4052
- NPI assigned
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Autism Services of Colorado | Current | Accepting new patients | |
| Tanner Autism Services of Colorado | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2551 E County Road 62E
Wellington, CO 80549-1502
Mailing address
2551 E County Road 62E
Wellington, CO 80549-1502
Phone (318) 446-3238
Other providers in Wellington, CO
- Stephanie J Speetzen
- Andrea Spratt
- Surviving to Thriving LLC
- Tanner Autism Services of Colorado
- Bryan Scott Tanner
- Sherry Teppo
- Tiah L. Terranova
- Natasha Trujillo
- Megan L Twarling
- Nichole Vigil
All providers in Wellington, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.