Individual
SUZANNE NORTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Mailing address
1150 BREEZY LN, BEREA, KY 40403-8659
(502) 220-1943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004432
VA
103K00000X
Behavior Analyst
—
KY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/22/2022
Last updated
03/05/2026
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