Provider Demographics
NPI:1588008502
Name:KUTSCHER, ELISABETH (BCBA)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:
Last Name:KUTSCHER
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 1:200 RIVERSIDE BLVD APT 35E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0914
Mailing Address - Country:US
Mailing Address - Phone:515-450-1486
Mailing Address - Fax:
Practice Address - Street 1:200 RIVERSIDE BLVD APT 35E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10069-0914
Practice Address - Country:US
Practice Address - Phone:515-450-1486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-21
Last Update Date:2013-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst