Individual
SUZAN K DOYLE-ROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
2021 N MAIN AVE, SPRINGFIELD, MO 65803-2607
(417) 413-1555
(833) 473-0885
Mailing address
2021 N MAIN AVE, SPRINGFIELD, MO 65803-2607
(417) 413-1555
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2016039485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730043218
—
MO
Enumeration date
06/05/2017
Last updated
02/15/2021
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