MEDICARE: HEATHER ANN SUCHINSKY

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
1	106S00000X	Behavior Technician		FL

Other Identifiers

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

General Provider Information

NPI Number	:	1689392540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ANN SUCHINSKY

Provider Business Mailing Address
First Line	:	9423 STERLING DR
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-7047
Country	:	US
Telephone Number	:	786-318-4799
Fax Number	:

Provider Business Practice Location Address
First Line	:	7231 SW 63RD AVE STE 101
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4810
Country	:	US
Telephone Number	:	305-901-0305
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2022
Last Update Date	:	08/21/2022

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Directions to “ HEATHER ANN SUCHINSKY ” Practice Location

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