Provider Demographics
NPI:1457895989
Name:SUAREZ, ELIZABETH
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:SUAREZ
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 1:24218 N 85TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-2878
Mailing Address - Country:US
Mailing Address - Phone:619-699-9392
Mailing Address - Fax:
Practice Address - Street 1:8130 EAST CACTUS ROAD
Practice Address - Street 2:SUITE 510
Practice Address - City:SCOTTSDALE
Practice Address - State:ARIZONA
Practice Address - Zip Code:85260
Practice Address - Country:UM
Practice Address - Phone:480-696-5530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1-16-24919103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst