Keith Rashaan Bussey, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18943 Issued in CA

Practice address

388 Richmond Rd
Susanville, CA 96130-4606

Phone

(530) 251-7374

NPI assigned

Jan 3, 2013

Last updated

Jul 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Lassen ABA LLC

  • Behavior Analyst
  • Susanville, CA
  • NPI 1790345205
  NPD Authorized official

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1841537339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 RICHMOND RD",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304606",
            "telephone_number": "530-251-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 RICHMOND RD",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304606",
            "telephone_number": "530-251-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "KEITH",
        "middle_name": "RASHAAN",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-03",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-18943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Corbridge, DMD, MSD Dental Corporation (Susanville Orthodontic Care)
• Dean Brown, PA-C
• Daniel Martin Bruce
• Harmony Bruns
• Sean Patrick Buehler, D.D.S.
• Jose Luis Bustos, D.D.S.
• Monique Dessire Cabalar
• California Em-I Medical Services, a Medical Corporation
• Orlando Alberto Caprari, B.A.
• Christina Marsa Carlton, M.D.

• Behavior Analyst in Susanville, CA
• Providers in Susanville, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.