Active NPI
Susan Lombness, M.ED, BCBA, BHP
- Behavior Analyst
- Mesa, AZ
National Provider Identifier
1669993028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000432
- Practice address
- 1830 S Alma School Rd Ste 130
Mesa, AZ 85210-3088 - Phone
- (480) 737-3773
- NPI assigned
- Jul 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000432 | AZ | Primary |
Addresses
Primary practice location
1830 S Alma School Rd Ste 130
Mesa, AZ 85210-3088
Mailing address
1848 N 52ND St
Phoenix, AZ 85008-3402
Phone (480) 737-3773
Other practice location 1
1848 N 52nd St
Phoenix, AZ 85008
Phone (480) 737-3773 ext. 48073
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000432 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1669993028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 N 52ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850083402",
"telephone_number": "480-737-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL RD STE 130",
"city": "MESA",
"state": "AZ",
"postal_code": "852103088",
"telephone_number": "480-737-3773"
}
],
"practiceLocations": [
{
"address_1": "1848 N 52nd St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "85008",
"country_code": "US",
"telephone_number": "480-737-3773 x48073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOMBNESS",
"first_name": "SUSAN",
"credential": "M.ED, BCBA, BHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.