Provider Demographics
NPI:1851781009
Name:HABCHY, SUSAN (BCBA)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:HABCHY
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 1:338 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-2205
Mailing Address - Country:US
Mailing Address - Phone:617-481-9878
Mailing Address - Fax:781-773-1326
Practice Address - Street 1:30 C ST
Practice Address - Street 2:
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-1939
Practice Address - Country:US
Practice Address - Phone:617-481-9878
Practice Address - Fax:781-773-1326
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1-11-8932103K00000X
MA562103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst