Susan Mazalan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59782 Issued in CO

Practice address

2890 S Newcombe Way
Lakewood, CO 80227-2626

Phone

(720) 226-5078

NPI assigned

Jun 21, 2022

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

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.

• Autism Behavioral and Educational Consulting

  • Community/Behavioral Health Agency
  • Lakewood, CO
  • NPI 1467829747
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1861123747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 S NEWCOMBE WAY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272626",
            "telephone_number": "720-226-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 S NEWCOMBE WAY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272626",
            "telephone_number": "720-226-5078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2890 S Newcombe Way",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802272626",
            "country_code": "US",
            "telephone_number": "720-226-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZALAN",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-22-59782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie May, PHD
• Thomas K Mayeda, MD
• Melissa R Mayer, RD
• Sara Mayes, LMT
• Lianne Maynard
• Leslie A. MC Cowan, RN, GNP
• Anne Christine McAdoo
• Bruce C McArthur, DDS
• Kellie K McBride
• Angel Mary McCabe, LMT

• Behavior Analyst in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.