Juarez, Suzy Lea

Juarez, Suzy Lea is an individual health care provider with primary practice located at 25558 Oak St , Lomita CA 90717-2635. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Juarez, Suzy Lea can be contacted via phone (213) 984-3937.

Contact Information

Primary practice address
25558 Oak St Lomita CA 90717-2635
Phone: (213) 984-3937
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-24542 California

Profile Details

NPI number 1619244845
LBN Legal business name Juarez, Suzy Lea
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated Dec 29th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619244845 NPPES
California MEDICAID 85-1911973

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