Provider Demographics
NPI:1760847354
Name:SUTTER, NIKOU PARI (BCBA/LBS)
Entity Type:Individual
Prefix:MRS
First Name:NIKOU
Middle Name:PARI
Last Name:SUTTER
Suffix:
Gender:F
Credentials:BCBA/LBS
Other - Prefix:MRS
Other - First Name:NIKOU
Other - Middle Name:
Other - Last Name:JANANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA/LBS
Mailing Address - Street 1:275 CUMBERLAND PARKWAY
Mailing Address - Street 2:SUITE 316
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5677
Mailing Address - Country:US
Mailing Address - Phone:844-588-4222
Mailing Address - Fax:717-775-3443
Practice Address - Street 1:2225 SYCAMORE STREET
Practice Address - Street 2:SUITE 120
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111
Practice Address - Country:US
Practice Address - Phone:844-588-4222
Practice Address - Fax:717-775-3443
Is Sole Proprietor?:No
Enumeration Date:2015-12-23
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8010103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst