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NPI Code Detail

MEDICARE: TRISHA SUGGS

MEDICARE: TRISHA SUGGS
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
1103K00000XBehavior Analyst1-21-52405FL

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 : 1629585187
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISHA SUGGS
Provider Business Mailing Address
First Line : 3355 ADDISON DR STE A
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-7065
Country : US
Telephone Number : 850-741-3759
Fax Number : 850-362-6826
Provider Business Practice Location Address
First Line : 3355 ADDISON DR STE A
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-7065
Country : US
Telephone Number : 850-741-3759
Fax Number : 850-362-6826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 11/02/2023

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Directions to “ TRISHA SUGGS ” Practice Location

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