Active NPI
Susan Fannin
- Behavior Technician
- Toledo, OH
National Provider Identifier
1962002048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT25-443781
- Practice address
- 3950 Sunforest CT FL 2
Toledo, OH 43623-4485 - Phone
- (855) 832-6727
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Behavior Technician | 106S00000X | RBT25-443781 | OH | Primary |
Addresses
Primary practice location
3950 Sunforest CT FL 2
Toledo, OH 43623-4485
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other practice location 1
27993 Creola Rd
Creola, OH 45622-8907
Phone (740) 418-0857
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT25-443781 | OH | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1962002048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 SUNFOREST CT FL 2",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234485",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [
{
"address_1": "27993 Creola Rd",
"address_purpose": "LOCATION",
"city": "Creola",
"state": "OH",
"postal_code": "456228907",
"country_code": "US",
"telephone_number": "740-418-0857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANNIN",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "RBT25-443781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.