Johnson, Suzanne Ellen

Johnson, Suzanne Ellen is an sole proprietor health care provider with primary practice located at 2430 6Th Ave , Moline IL 61265-1539. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Johnson, Suzanne Ellen can be contacted via phone (309) 764-5555.

Contact Information

Primary practice address
2430 6Th Ave Moline IL 61265-1539
Phone: (309) 764-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1851789507
LBN Legal business name Johnson, Suzanne Ellen
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2015
Last updated Jan 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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