Provider Demographics
NPI:1508091604
Name:SUTER, JENNIFER M (MS BCBA)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:M
Last Name:SUTER
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N DEBARDELEBEN ST
Mailing Address - Street 2:APT. 26
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5551
Mailing Address - Country:US
Mailing Address - Phone:913-240-1771
Mailing Address - Fax:
Practice Address - Street 1:115 N DEBARDELEBEN ST
Practice Address - Street 2:APT. 26
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5551
Practice Address - Country:US
Practice Address - Phone:913-240-1771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst