Provider Demographics
NPI:1245098748
Name:CATRON, SUZANNAH
Entity type:Individual
Prefix:
First Name:SUZANNAH
Middle Name:
Last Name:CATRON
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 1:11048 CAROL DR
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-1413
Mailing Address - Country:US
Mailing Address - Phone:352-770-9960
Mailing Address - Fax:
Practice Address - Street 1:26240 GOLDEN MAPLE LOOP
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6304
Practice Address - Country:US
Practice Address - Phone:813-949-0744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician