Provider Demographics
NPI:1467288324
Name:SUTTON, EL-LASHIA RISHEA
Entity type:Individual
Prefix:
First Name:EL-LASHIA
Middle Name:RISHEA
Last Name:SUTTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464099 STATE ROAD 200
Mailing Address - Street 2:
Mailing Address - City:YULEE
Mailing Address - State:FL
Mailing Address - Zip Code:32097-6459
Mailing Address - Country:US
Mailing Address - Phone:904-875-4461
Mailing Address - Fax:904-659-0130
Practice Address - Street 1:464099 STATE ROAD 200
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-6459
Practice Address - Country:US
Practice Address - Phone:904-875-4461
Practice Address - Fax:904-659-0130
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician