Individual
BETZABE CISNEROS SUAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2451B US HIGHWAY 17, RICHMOND HILL, GA 31324-3397
(615) 560-6622
Mailing address
1502 BENTON BLVD APT 2106, SAVANNAH, GA 31407-5144
(229) 785-5359
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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