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CALLISTA M SUSEN
NPI 1174293583
Technician/Technologist in Fayetteville, NC

Active since September 16, 2021
6985 NEXUS CT STE 107, FAYETTEVILLE, NC 28304(910) 493-3999(910) 728-4644 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Callista M Susen NPPES

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

CALLISTA M SUSEN (NPI 1174293583) is an individual technician/technologist in Fayetteville, North Carolina, licensed in North Carolina (RBT-21-167101) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1174293583
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameCALLISTA M SUSEN
Location Address6985 NEXUS CT STE 107Fayetteville, NC 28304-3186
Mailing Address6985 Nexus Ct Ste 107Fayetteville, NC 28304-3186 · (910) 493-3999 · Fax (910) 728-4644
Phone(910) 493-3999
Fax(910) 728-4644
Sole ProprietorNo
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1174293583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
License✔ Licensed in NC · RBT-21-167101
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
6985 NEXUS CT STE 107, Fayetteville, NC 28304
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Other Identifiers 1

Medicaid09162021FL

Other Providers at the Same Location NPPES 19

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

MAURICE D JACKSON RBT
Behavior Analyst
6985 NEXUS CT STE 107
FAYETTEVILLE, NC 28304
Cumberland County (910) 728-4449
MINDFUL FOOTING PLLC
Counselor (Professional)
6985 NEXUS CT STE 107
FAYETTEVILLE, NC 28304
Cumberland County (910) 760-4836
SARAH MCMILLON
Behavior Technician
6985 NEXUS CT STE 107
FAYETTEVILLE, NC 28304
Cumberland County (910) 493-3999
DANA WASHINGTON LCMHCA
Counselor (Professional)
6985 NEXUS CT STE 107
FAYETTEVILLE, NC 28304
Cumberland County (910) 760-4836
MONIFA CANADY
Technician, Other
6985 NEXUS CT STE 107
FAYETTEVILLE, NC 28304
Cumberland County (910) 493-3999
PUI CHENG
Behavior Analyst
6985 NEXUS CT STE 107
FAYETTEVILLE, NC 28304
Cumberland County (910) 493-3999
AMINAH STARKS
Behavior Technician
6985 NEXUS CT STE 107
FAYETTEVILLE, NC 28304
Cumberland County (910) 728-4999
KYLEIGH NICHOLLE TOLLESON
Assistant Behavior Analyst
6985 NEXUS CT STE 107
FAYETTEVILLE, NC 28304
Cumberland County (910) 493-3999

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 Callista Susen's NPI number?

The NPI number for Callista Susen is 1174293583. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Callista Susen located?

Callista Susen practices at 6985 Nexus Ct Ste 107, Fayetteville, NC 28304. The listed phone number is (910) 493-3999.

What is Callista Susen's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Callista Susen was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.