Provider Demographics
NPI:1164976767
Name:ABOU-ZAKI, SUZANA JURDI (BCBA)
Entity Type:Individual
Prefix:
First Name:SUZANA
Middle Name:JURDI
Last Name:ABOU-ZAKI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 MINT HILL DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6930
Mailing Address - Country:US
Mailing Address - Phone:954-991-8163
Mailing Address - Fax:
Practice Address - Street 1:121 MINT HILL DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-6930
Practice Address - Country:US
Practice Address - Phone:954-991-8163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12150423103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst