Suzanne Wahwasuck

Individual provider Active NPI Behavior Technician · Sabetha, KS

NPI 1942907555 · NPPES record last updated Feb 14, 2023

Key facts

NPI
1942907555
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
720 S Washington Ave
Sabetha, KS 66534-2629
Phone
(785) 991-0841
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
Yes

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

720 S Washington Ave
Sabetha, KS 66534-2629

Mailing address

6214 24TH Ave
Brooklyn, NY 11204-3319

Other providers in Sabetha, KS

All providers in Sabetha, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.