Active NPI 1093689317 Individual Practitioner Male Practitioner

Sergey Sukhanov

Behavior Analyst • Los Gatos, CA

Professional Overview & Biography Verified Profile Summary

Sergey Sukhanov is a registered healthcare professional specializing in Behavior Analyst in Los Gatos, CA. Practice services are available at 508 NINO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

508 Nino Ave

Los Gatos, CA 950325518

Telephone 4086363879

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Los Gatos, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.8 Yrs

Regional Practice Density

15 Specialists

Practicing in Los Gatos, CA (20508 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-30

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-25-82798

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 30, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2025

Registered at 508 NINO AVE, LOS GATOS, CA 950325518 (Tel: 4086363879)

📍

Updated Business Mailing Address September 30, 2025

Registered at 5504 DON RODOLFO CT, SAN JOSE, CA 951233137 (Tel: 4086363879)

👤

Provider Name / Credentials Updated September 30, 2025

Recorded as SERGEY SUKHANOV

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2025

Behavior Analyst (License #1-25-82798 in CA)

🟢

Initial NPI Registration & Enumeration September 30, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093689317

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 30, 2025

Last Update: September 30, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5504 Don Rodolfo Ct

San Jose, CA 951233137

Phone: 4086363879

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.