SUSAN VANDER MARTIN RN
NPI 1124664594
Behavior Technician in Wasilla, AK

Active since November 20, 2019
5620 E BEAVER AVE, WASILLA, AK 99654(479) 774-2484 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Vander Martin Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN VANDER MARTIN RN (NPI 1124664594) is an individual behavior technician in Wasilla, Alaska and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1124664594
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSUSAN VANDER MARTINCredential: RN
Location Address5620 E BEAVER AVEWasilla, AK 99654-4633
Mailing Address5620 E Beaver AveWasilla, AK 99654-4633 · (479) 774-2484
Sole ProprietorNo
Enumeration DateNovember 20, 2019
NPI 1124664594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
5620 E BEAVER AVE, Wasilla, AK 99654

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
5620 E BEAVER AVE
WASILLA, AK 99654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Vander Martin's NPI number?

The NPI number for Susan Vander Martin is 1124664594. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Susan Vander Martin located?

Susan Vander Martin practices at 5620 E Beaver Ave, Wasilla, AK 99654. The listed phone number is (479) 774-2484.

What is Susan Vander Martin's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Susan Vander Martin was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.