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Individual

MS. JUDY ANN SUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-S, LBA, BCBA

Contact information

Practice address
1779 WELLS BRANCH PARKWAY SUITE 110B-194, AUSTIN, TX 78728
(512) 872-1884
Mailing address
1779 WELLS BRANCH PARKWAY SUITE 110B-194, AUSTIN, TX 78728
(512) 872-1884

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
12500
TX
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
1-09-5158
FL
103K00000X
Behavior Analyst
Primary
1-09-5158
TX
103K00000X
Behavior Analyst
1078
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027756802
TX
05
131605476
TN
Enumeration date
08/30/2006
Last updated
07/28/2020
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