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NPI Code Detail

MEDICARE: CLAIRE A SUTTON M.A., BCBA

MEDICARE: CLAIRE A SUTTON M.A., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst0-24-15109FL
2106S00000XBehavior Technician
3103K00000XBehavior Analyst1-24-75969FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003314501
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE A SUTTON M.A., BCBA
Provider Business Mailing Address
First Line : 3424 FIDDLERS GREEN LOOP
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-8195
Country : US
Telephone Number : 813-777-4375
Fax Number :
Provider Business Practice Location Address
First Line : 7441 114TH AVE STE 604
Second Line :
City : LARGO
State : FL
Zip : 33773-5124
Country : US
Telephone Number : 727-492-5369
Fax Number : 727-544-5900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2018
Last Update Date : 10/11/2024

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