Provider Demographics
NPI:1922788868
Name:WOODS, SUSEJ
Entity Type:Individual
Prefix:
First Name:SUSEJ
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 BRICKELL AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2803
Mailing Address - Country:US
Mailing Address - Phone:305-330-4660
Mailing Address - Fax:786-217-1376
Practice Address - Street 1:777 BRICKELL AVE STE 500
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2803
Practice Address - Country:US
Practice Address - Phone:305-330-4660
Practice Address - Fax:786-217-1376
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician