Provider Demographics
NPI:1780819334
Name:WARD, SUZANNE NICOLE (BCBA)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:NICOLE
Last Name:WARD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:NICOLE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:MARKTSTRASSE 4
Mailing Address - Street 2:
Mailing Address - City:RAMSTEIN
Mailing Address - State:RHINELAND- PFALZ
Mailing Address - Zip Code:66877
Mailing Address - Country:DE
Mailing Address - Phone:491517-518-9573
Mailing Address - Fax:4916371-594-6037
Practice Address - Street 1:MARKTSTRASSE 4
Practice Address - Street 2:
Practice Address - City:RAMSTEIN
Practice Address - State:RHINELAND-PFALZ
Practice Address - Zip Code:66877
Practice Address - Country:DE
Practice Address - Phone:1517-518-9573
Practice Address - Fax:06371-594-6037
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst