Suchona Akter

Individual provider Active NPI Behavior Technician · Southgate, MI

NPI 1013732734 · NPPES record last updated Nov 18, 2024

Key facts

NPI
1013732734
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1 Heritage Dr
Southgate, MI 48195-3094
Phone
(734) 767-2250
NPI assigned
Nov 18, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1 Heritage Dr
Southgate, MI 48195-3094

Mailing address

1 Heritage Dr
Southgate, MI 48195-3094
Phone (734) 767-2250

Other providers in Southgate, MI

All providers in Southgate, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.