Healthcare Provider Details

I. General information

NPI: 1780819334
Provider Name (Legal Business Name): SUZANNE NICOLE WARD BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZANNE NICOLE TAYLOR BCBA

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 01/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARKTSTRASSE 4
RAMSTEIN RHINELAND-PFALZ
66877
DE

IV. Provider business mailing address

MARKTSTRASSE 4
RAMSTEIN RHINELAND- PFALZ
66877
DE

V. Phone/Fax

Practice location:
  • Phone: 15175189573
  • Fax: 063715946037
Mailing address:
  • Phone: 4915175189573
  • Fax: 49163715946037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: