Provider Demographics
NPI:1649166562
Name:SUTTON, ADRIAN JAMES
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:JAMES
Last Name:SUTTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22730 RUNNYMEDE ST
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1505
Mailing Address - Country:US
Mailing Address - Phone:818-963-2922
Mailing Address - Fax:
Practice Address - Street 1:22730 RUNNYMEDE ST
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1505
Practice Address - Country:US
Practice Address - Phone:818-963-2922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician