Provider Demographics
NPI:1417345646
Name:HUGHES, SUZANNE (MSED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MSED, BCBA
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, BCBA
Mailing Address - Street 1:7 MACARTHUR BLVD
Mailing Address - Street 2:APT. N408
Mailing Address - City:HADDON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-3648
Mailing Address - Country:US
Mailing Address - Phone:732-407-3566
Mailing Address - Fax:
Practice Address - Street 1:7 MACARTHUR BLVD
Practice Address - Street 2:APT. N408
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08108-3648
Practice Address - Country:US
Practice Address - Phone:732-407-3566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-11-8345103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst