Holly Lynn Sutton, BS, AAC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA60828820 Issued in WA

Practice address

3801 Kern Road
Children'S Village
Yakima, WA 98902

Phone

(509) 574-3267

Fax

(509) 574-6710

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1992252571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 TIETON DR STE C",
            "address_2": "5301 TIETON DRIVE SUITE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083479",
            "telephone_number": "509-965-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KERN ROAD",
            "address_2": "CHILDREN'S VILLAGE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-574-3267",
            "fax_number": "509-574-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "BS, AAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "CG60672517",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60828820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2065792",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Lymphedema Center LLC
• Sunrise Outreach Center of Yakima
• Chanelle Amber Surginer
• Cynthia M Suriano, D.C.
• Erika Sutton, PHARMD
• Anna Marie Suyama
• Suzanne Rodriguez
• Kylie Svendsen, MS CFY-SLP
• Marvin Edward Swainson, DDS
• Terry L Swan, M.S., R.C.

• Behavior Analyst in Yakima, WA
• Providers in Yakima, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.