Suzan L Bonzo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30881 Issued in CA

Practice address

5620 Birdcage St Ste 230
Citrus Heights, CA 95610

Phone

(916) 305-1044

NPI assigned

Aug 5, 2010

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

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1992019699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 FIGUEROA ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302409",
            "telephone_number": "602-281-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 BIRDCAGE ST STE 230",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95610",
            "telephone_number": "916-305-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 E Bell Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852546002",
            "country_code": "US",
            "telephone_number": "602-350-9930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONZO",
        "first_name": "SUZAN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-30881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Boatwright, PHARMD
• Ilissa Bobst
• Kaliah Bolden
• Ta Nyse Bonds
• Roy Thomas Bonk, D.D.S.
• Kulvinder Singh Boparai, M.D.
• Anaundi Borum
• Zion Borum
• Tylor Boseman
• Azhanae Botley

• Behavior Analyst in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.