Provider Demographics
NPI:1811551781
Name:SUGGS, SCOTT (BCBA)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:SUGGS
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:AL
Mailing Address - Zip Code:36274-2122
Mailing Address - Country:US
Mailing Address - Phone:256-225-0748
Mailing Address - Fax:
Practice Address - Street 1:1451 MAIN ST
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:AL
Practice Address - Zip Code:36274-2122
Practice Address - Country:US
Practice Address - Phone:256-225-0748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA331119103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst