Madasyn Sutton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

109318-253 Issued in WY

Practice address

1100 Haxton Dr Unit 115
Fort Collins, CO 80525-6213

Phone

(970) 305-8642

Fax

(970) 310-4555

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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

• Center for Autism and Related Disorders LLC

  • Behavior Analyst
  • Fort Collins, CO
  • NPI 1215538632
  NPD (past)

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1841799889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HAXTON DR UNIT 115",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256213",
            "telephone_number": "970-305-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HAXTON DR UNIT 115",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256213",
            "telephone_number": "970-305-8642",
            "fax_number": "970-310-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "MADASYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WY",
            "license": "109318-253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Sutherland, LCSW
• Martha Steve Sutherland, PSYD
• Elizabeth Sutphin, LCSW
• Leslie Sutton, OTR/L
• Leslie Ann Sutton, PT
• Michael Sutton, ND
• Patrik Suwak, DO
• SVC Dental Group, LLC
• Hannah Lynne Svedlow, MA
• Isabella Svrcek, LPCC

• Behavior Technician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.